TW202011982A - Peptide formulations and uses thereof - Google Patents

Peptide formulations and uses thereof Download PDF

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TW202011982A
TW202011982A TW108113861A TW108113861A TW202011982A TW 202011982 A TW202011982 A TW 202011982A TW 108113861 A TW108113861 A TW 108113861A TW 108113861 A TW108113861 A TW 108113861A TW 202011982 A TW202011982 A TW 202011982A
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pharmaceutical composition
peptides
composition according
peptide
amino acids
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正欣 董
羅賓 潔西卡 艾瑟特
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美商尼恩醫療公司
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    • C07K14/4748Tumour specific antigens; Tumour rejection antigen precursors [TRAP], e.g. MAGE
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    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/515Animal cells
    • A61K2039/5158Antigen-pulsed cells, e.g. T-cells

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Abstract

The present disclosure relates to compositions comprising a peptide with improved solubility and the methods of achieving the same. In one embodiment, the present composition comprises at least one peptide, a pH modifier present at a concentration of less than 1.0 mM, and a pharmaceutically acceptable carrier. The composition may further comprise other components such as immunomodulator adjuvant. Methods of preparing the present compositions and methods of treating a subject by administering the present compositions were also disclosed.

Description

肽調配物及其用途Peptide formulations and uses

對研發含有腫瘤特異性及/或患者特異性新抗原之贅瘤疫苗之癌症療法的關注日益增長。此等新抗原對於增強T細胞對特定腫瘤類型之反應為理想的,因此克服含有共有腫瘤抗原之疫苗的一些缺點。然而,多數新抗原肽難溶於多數醫藥學上可接受之載劑,其阻礙其在疫苗或其他醫藥調配物中之用途。較差溶解度會引起投與之後的較差吸收,限制調配物之存放期且減小其在復原之後的功效。本發明針對用於提高新抗原肽之溶解度的調配物之研發且實現先前不可溶的新抗原肽用於醫藥調配物之用途。There is increasing interest in developing cancer therapies that contain neoplastic vaccines that are tumor-specific and/or patient-specific neoantigens. These new antigens are ideal for enhancing the response of T cells to specific tumor types, thus overcoming some of the disadvantages of vaccines containing shared tumor antigens. However, most neoantigenic peptides are difficult to dissolve in most pharmaceutically acceptable carriers, which hinders their use in vaccines or other pharmaceutical formulations. Poor solubility can cause poor absorption after administration, limit the shelf life of the formulation and reduce its efficacy after recovery. The present invention is directed to the development of formulations for improving the solubility of neoantigen peptides and to achieve the use of previously insoluble neoantigen peptides for pharmaceutical formulations.

本文提供醫藥組合物,其包含:一或多種新抗原肽或其醫藥學上可接受之鹽;以小於1.0 mM之濃度存在的pH調節劑;及醫藥學上可接受之載劑。Provided herein is a pharmaceutical composition comprising: one or more neoantigenic peptides or a pharmaceutically acceptable salt thereof; a pH adjusting agent present at a concentration of less than 1.0 mM; and a pharmaceutically acceptable carrier.

在一些實施例中,醫藥組合物為疫苗組合物。In some embodiments, the pharmaceutical composition is a vaccine composition.

在一些實施例中,醫藥組合物為水性的。In some embodiments, the pharmaceutical composition is aqueous.

在一些實施例中,醫藥組合物為可凍乾的。In some embodiments, the pharmaceutical composition is lyophilizable.

在一些實施例中,一或多種新抗原肽中之至少一種由pI > 5及HYDRO > -6限定。如本文所用,「由限定」等效於「具有」。舉例而言,由pI > 5及HYDRO < -6限定之肽等效於具有pI > 5及HYDRO < -6之肽。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 8及HYDRO > -8限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI < 5及HYDRO > -5限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 9及HYDRO < -8限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 7及HYDRO之值> -5.5限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 0及HYDRO < -8,pI > 0及HYDRO > -4,或pI > 4.3及-4 ≤ HYDRO ≥ -8限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 0及HYDRO > -4,或pI > 4.3及HYDRO ≤ -4限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI > 0及HYDRO > -4,或pI > 4.3及-4 ≤ HYDRO ≥ -9限定。在一些實施例中,一或多種新抗原肽中之至少一種由5 ≤ pI ≥ 12及-4 ≤ HYDRO ≥ -9限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI < 4.3及-4 ≤ HYDRO ≥ -8限定。In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 5 and HYDRO> -6. As used herein, "by definition" is equivalent to "having". For example, a peptide defined by pI> 5 and HYDRO <-6 is equivalent to a peptide having pI> 5 and HYDRO <-6. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI>8 and HYDRO>-8. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI <5 and HYDRO> -5. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 9 and HYDRO <-8. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 7 and the value of HYDRO> -5.5. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 0 and HYDRO <-8, pI> 0 and HYDRO> -4, or pI> 4.3 and -4 ≤ HYDRO ≥ -8. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 0 and HYDRO> -4, or pI> 4.3 and HYDRO ≤ -4. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI> 0 and HYDRO> -4, or pI> 4.3 and -4 ≤ HYDRO ≥ -9. In some embodiments, at least one of the one or more neoantigenic peptides is defined by 5 ≤ pI ≥ 12 and -4 ≤ HYDRO ≥ -9. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI <4.3 and -4 ≤ HYDRO ≥ -8.

在一些實施例中,醫藥組合物之一或多種新抗原肽中之至少一種具有5 ≤ pI ≥ 12及-6 ≤ HYDRO ≥ -9。In some embodiments, at least one of the one or more neoantigenic peptides of the pharmaceutical composition has 5 ≤ pI ≥ 12 and -6 ≤ HYDRO ≥ -9.

在一些實施例中,醫藥組合物之一或多種新抗原肽中之至少一種具有7.5 ≤ pI ≥ 12及-4 ≤ HYDRO ≥ -9。In some embodiments, at least one of the one or more neoantigenic peptides of the pharmaceutical composition has 7.5 ≤ pI ≥ 12 and -4 ≤ HYDRO ≥ -9.

在一些實施例中,醫藥組合物之一或多種新抗原肽中之至少一種具有5至6.5或7.5至12之pI及-4 ≤ HYDRO ≥ -9。In some embodiments, at least one of the one or more neoantigenic peptides of the pharmaceutical composition has a pi of 5 to 6.5 or 7.5 to 12 and -4 ≤ HYDRO ≥ -9.

在一些實施例中,醫藥組合物之一或多種新抗原肽中之至少一種具有5 ≤ pI ≥ 12且具有-4至-4.9或-5.8至-9之HYDRO。In some embodiments, at least one of the one or more neoantigenic peptides of the pharmaceutical composition has 5 ≤ pI ≥ 12 and has a HYDRO of -4 to -4.9 or -5.8 to -9.

在一些實施例中,醫藥組合物之一或多種新抗原肽中之至少一種具有5至6.5或7.5至12之pI且具有-4至-4.9或-5.8至-9之HYDRO。In some embodiments, at least one of the one or more neoantigenic peptides of the pharmaceutical composition has a pi of 5 to 6.5 or 7.5 to 12 and a HYDRO of -4 to -4.9 or -5.8 to -9.

在一些實施例中,醫藥組合物包含至少一種新抗原肽。在一些實施例中,醫藥組合物包含至少兩種新抗原肽。在一些實施例中,醫藥組合物包含至少三種新抗原肽。在一些實施例中,醫藥組合物包含至少四種新抗原肽。在一些實施例中,醫藥組合物包含至少五種新抗原肽。在一些實施例中,醫藥組合物包含至多40種新抗原肽。在一些實施例中,一或多種新抗原肽中的每一種均可溶於醫藥組合物。In some embodiments, the pharmaceutical composition comprises at least one neoantigenic peptide. In some embodiments, the pharmaceutical composition comprises at least two neoantigenic peptides. In some embodiments, the pharmaceutical composition comprises at least three neoantigenic peptides. In some embodiments, the pharmaceutical composition comprises at least four neoantigenic peptides. In some embodiments, the pharmaceutical composition comprises at least five neoantigenic peptides. In some embodiments, the pharmaceutical composition contains up to 40 neoantigenic peptides. In some embodiments, each of the one or more neoantigenic peptides is soluble in the pharmaceutical composition.

在一些實施例中,一或多種新抗原肽中的每一種包含6至50個胺基酸、6至45個胺基酸、6至40個胺基酸、6至35個胺基酸、6至30個胺基酸、6至25個胺基酸、6至20個胺基酸、8至50個胺基酸、8至45個胺基酸、8至40個胺基酸、8至35個胺基酸、8至30個胺基酸、8至25個胺基酸、8至20個胺基酸、14至50個胺基酸、14至45個胺基酸、14至40個胺基酸、14至35個胺基酸、14至30個胺基酸、14至27個胺基酸、14至25個胺基酸或14至20個胺基酸。在一些實施例中,一或多種新抗原肽中之至少一種包含14至30個胺基酸。在一些實施例中,一或多種新抗原肽中之至少一種長度為少於15個胺基酸或更少,長度為7至11個胺基酸,或長度為8至10個胺基酸。In some embodiments, each of the one or more neoantigenic peptides includes 6 to 50 amino acids, 6 to 45 amino acids, 6 to 40 amino acids, 6 to 35 amino acids, 6 To 30 amino acids, 6 to 25 amino acids, 6 to 20 amino acids, 8 to 50 amino acids, 8 to 45 amino acids, 8 to 40 amino acids, 8 to 35 Amino acids, 8 to 30 amino acids, 8 to 25 amino acids, 8 to 20 amino acids, 14 to 50 amino acids, 14 to 45 amino acids, 14 to 40 amines Base acids, 14 to 35 amino acids, 14 to 30 amino acids, 14 to 27 amino acids, 14 to 25 amino acids, or 14 to 20 amino acids. In some embodiments, at least one of the one or more neoantigenic peptides contains 14 to 30 amino acids. In some embodiments, at least one of the one or more neoantigenic peptides is less than 15 amino acids in length or less, 7 to 11 amino acids in length, or 8 to 10 amino acids in length.

在一些實施例中,一或多種新抗原肽中之至少一種長度為40個胺基酸或更少,長度為6至25個胺基酸,長度為14至30個胺基酸,或長度為14至27個胺基酸。In some embodiments, at least one of the one or more neoantigen peptides is 40 amino acids or less in length, 6 to 25 amino acids in length, 14 to 30 amino acids in length, or is 14 to 27 amino acids.

在一些實施例中,pH調節劑為鹼。在一些實施例中,pH調節劑為弱酸之共軛鹼。在一些實施例中,pH調節劑為醫藥學上可接受之鹽。在一些實施例中,pH調節劑為二羧酸鹽或三羧酸鹽。在一些實施例中,pH調節劑為檸檬酸及/或檸檬酸鹽。在一些實施例中,檸檬酸鹽為檸檬酸二鈉及/或檸檬酸三鈉。在一些實施例中,pH調節劑為丁二酸及/或丁二酸鹽。在一些實施例中,丁二酸鹽為丁二酸二鈉及/或丁二酸單鈉。在一些實施例中,丁二酸二鈉為丁二酸二鈉六水合物。In some embodiments, the pH adjusting agent is a base. In some embodiments, the pH adjusting agent is a weak acid conjugate base. In some embodiments, the pH adjusting agent is a pharmaceutically acceptable salt. In some embodiments, the pH adjuster is a dicarboxylate or tricarboxylate. In some embodiments, the pH adjusting agent is citric acid and/or citrate. In some embodiments, the citrate salt is disodium citrate and/or trisodium citrate. In some embodiments, the pH adjusting agent is succinic acid and/or succinate. In some embodiments, the succinate salt is disodium succinate and/or monosodium succinate. In some embodiments, the disodium succinate is disodium succinate hexahydrate.

在一些實施例中,pH調節劑以0.75 mM或更低之濃度存在。在一些實施例中,pH調節劑以0.50 mM或更低之濃度存在。在一些實施例中,pH調節劑以0.25 mM或更低之濃度存在。在一些實施例中,pH調節劑以0.25 mM至1.0 mM之濃度存在。在一些實施例中,pH調節劑以0.50 mM至1.0 mM之濃度存在。在一些實施例中,pH調節劑以0.75 mM至1.0 mM之濃度存在。在一些實施例中,pH調節劑以0.50 mM至0.75 mM之濃度存在。In some embodiments, the pH adjusting agent is present at a concentration of 0.75 mM or lower. In some embodiments, the pH adjusting agent is present at a concentration of 0.50 mM or less. In some embodiments, the pH adjusting agent is present at a concentration of 0.25 mM or lower. In some embodiments, the pH adjusting agent is present at a concentration of 0.25 mM to 1.0 mM. In some embodiments, the pH adjusting agent is present at a concentration of 0.50 mM to 1.0 mM. In some embodiments, the pH adjusting agent is present at a concentration of 0.75 mM to 1.0 mM. In some embodiments, the pH adjusting agent is present at a concentration of 0.50 mM to 0.75 mM.

在一些實施例中,醫藥學上可接受之載劑包含液體。在一些實施例中,醫藥學上可接受之載劑包含水。在一些實施例中,醫藥學上可接受之載劑包含糖。在一些實施例中,糖包含右旋糖。在一些實施例中,右旋糖以5% w/v之濃度存在。在一些實施例中,糖包含海藻糖。在一些實施例中,糖包含蔗糖。在一些實施例中,醫藥學上可接受之載劑包含二甲亞碸(DMSO)。在一些實施例中,DMSO以0.1%至10%、0.5%至5%或1%至3%之濃度存在。In some embodiments, the pharmaceutically acceptable carrier contains a liquid. In some embodiments, the pharmaceutically acceptable carrier comprises water. In some embodiments, the pharmaceutically acceptable carrier comprises sugar. In some embodiments, the sugar comprises dextrose. In some embodiments, dextrose is present at a concentration of 5% w/v. In some embodiments, the sugar comprises trehalose. In some embodiments, the sugar comprises sucrose. In some embodiments, the pharmaceutically acceptable carrier comprises dimethyl sulfoxide (DMSO). In some embodiments, DMSO is present at a concentration of 0.1% to 10%, 0.5% to 5%, or 1% to 3%.

在一些實施例中,醫藥組合物進一步包含免疫調節劑或佐劑。在一些實施例中,免疫調節劑或佐劑係選自由以下組成之群:聚ICLC、1018 ISS、鋁鹽、Amplivax、AS15、BCG、CP-870,893、CpG7909、CyaA、ARNAX、STING促效劑、dSLIM、GM-CSF、IC30、IC31、咪喹莫特(Imiquimod)、ImuFact IMP321、IS貼片、ISS、ISCOMATRIX、Juvlmmune、LipoVac、MF59、單磷醯基脂質A、Montanide IMS 1312、Montanide ISA 206、Montanide ISA 50V、Montanide ISA-51、OK-432、OM-174、OM-197-MP-EC、ONTAK、PepTel®、載體系統、PLGA微粒、雷西莫特(resiquimod),SRL172、病毒顆粒及其他病毒樣顆粒、YF-17D、VEGF捕捉劑、R848、β-葡聚糖、Pam2Cys、Pam3Cys及Aquila之QS21刺激子。在一些實施例中,免疫調節劑或佐劑包含聚-ICLC。在一些實施例中,醫藥組合物中聚-ICLC與新抗原肽之比率為2:1至1:10 v:v。在一些實施例中,醫藥組合物中聚-ICLC與新抗原肽之比率為約1:1、1:2、1:3、1:4或1:5 v:v。In some embodiments, the pharmaceutical composition further comprises an immunomodulator or adjuvant. In some embodiments, the immunomodulator or adjuvant is selected from the group consisting of poly ICLC, 1018 ISS, aluminum salt, Amplivax, AS15, BCG, CP-870,893, CpG7909, CyaA, ARNAX, STING agonist, dSLIM, GM-CSF, IC30, IC31, Imiquimod, ImuFact IMP321, IS patch, ISS, ISCOMATRIX, Juvlmmune, LipoVac, MF59, monophosphoryl lipid A, Montanide IMS 1312, Montanide ISA 206, Montanide ISA 50V, Montanide ISA-51, OK-432, OM-174, OM-197-MP-EC, ONTAK, PepTel®, carrier system, PLGA particles, resiquimod, SRL172, virus particles and others Virus-like particles, YF-17D, VEGF capture agent, R848, β-glucan, Pam2Cys, Pam3Cys and Aquila QS21 stimulator. In some embodiments, the immunomodulator or adjuvant comprises poly-ICLC. In some embodiments, the ratio of poly-ICLC to neoantigen peptide in the pharmaceutical composition is from 2:1 to 1:10 v:v. In some embodiments, the ratio of poly-ICLC to neoantigen peptide in the pharmaceutical composition is about 1:1, 1:2, 1:3, 1:4, or 1:5 v:v.

本文提供醫藥組合物,其包含:一或多種新抗原肽;以至少0.5%、1%、2%、3%或更多之濃度存在的二甲亞碸;以至少1% w/v、2% w/v、3% w/v、4% w/v、5% w/v或更多之濃度存在的糖;及以小於1.0 mM之濃度存在的丁二酸或丁二酸鹽。Provided herein is a pharmaceutical composition comprising: one or more neoantigen peptides; dimethyl sulfoxide present at a concentration of at least 0.5%, 1%, 2%, 3% or more; at least 1% w/v, 2 % w/v, 3% w/v, 4% w/v, 5% w/v or more sugars; and succinic acid or succinate in concentrations less than 1.0 mM.

本文提供醫藥組合物,其包含:一或多種新抗原肽;1%至10%二甲亞碸;1% w/v至10% w/v糖之水溶液;及低於1.0 mM丁二酸或丁二酸鹽。Provided herein is a pharmaceutical composition comprising: one or more neoantigenic peptides; 1% to 10% dimethylsulfoxide; 1% w/v to 10% w/v sugar in water; and less than 1.0 mM succinic acid or Succinate.

本文提供醫藥組合物,其包含:一或多種新抗原肽;1%至10%二甲亞碸;1% w/v至10% w/v糖之水溶液;及低於1.0 mM丁二酸或丁二酸鹽;及聚I:聚C。在一些實施例中,聚I:聚C包含聚-L-離胺酸;在一些實施例中,聚I:聚C包含羧甲基纖維素鈉。在一些實施例中,醫藥組合物進一步包含氯化鈉。Provided herein is a pharmaceutical composition comprising: one or more neoantigenic peptides; 1% to 10% dimethylsulfoxide; 1% w/v to 10% w/v sugar in water; and less than 1.0 mM succinic acid or Succinate; and Poly I: Poly C. In some embodiments, poly I:poly C comprises poly-L-lysine; in some embodiments, poly I:poly C comprises sodium carboxymethyl cellulose. In some embodiments, the pharmaceutical composition further comprises sodium chloride.

本文提供醫藥組合物,其包含:一至五種新抗原肽,1%至4% v/v二甲亞碸,3%至5%右旋糖,以小於1.0 mM之濃度存在的丁二酸或丁二酸鹽。Provided herein is a pharmaceutical composition comprising: one to five neoantigenic peptides, 1% to 4% v/v dimethylsulfoxide, 3% to 5% dextrose, succinic acid present at a concentration of less than 1.0 mM or Succinate.

本文提供醫藥組合物,其包含:一至五種新抗原肽,1%至4% v/v二甲亞碸,3%至5%右旋糖,以小於1.0 mM之濃度存在的丁二酸或丁二酸鹽,0.4至0.6 mg/ml聚I:聚C,0.3至0.5 mg/ml聚-L-離胺酸,0.5至2 mg/ml羧甲基纖維素鈉及0.1%至0.5%氯化鈉。Provided herein is a pharmaceutical composition comprising: one to five neoantigenic peptides, 1% to 4% v/v dimethylsulfoxide, 3% to 5% dextrose, succinic acid present at a concentration of less than 1.0 mM or Succinate, 0.4 to 0.6 mg/ml poly I: Poly C, 0.3 to 0.5 mg/ml poly-L-lysine, 0.5 to 2 mg/ml sodium carboxymethyl cellulose and 0.1% to 0.5% chlorine Sodium chloride.

在一些實施例中,一或多種新抗原肽中之每一種以至少1 μg/mL、至少10 μg/mL、至少25 μg/mL、至少50 μg/mL或至少100 μg/mL之濃度存在。在一些實施例中,一或多種新抗原肽中之每一種以至多5000 μg/mL、至多2500 μg/mL、至多1000 μg/mL、至多750 μg/mL、至多500 μg/mL、至多400 μg/mL或至多300 μg/mL之濃度存在。在一些實施例中,一或多種新抗原肽中之每一種以10 μg/mL至5000 μg/mL、10 μg/mL至4000 μg/mL、10 μg/mL至3000 μg/mL、10 μg/mL至2000 μg/mL、10 μg/mL至1000 μg/mL、25 μg/mL至500 μg/mL、或50 μg/mL至300 μg/mL之濃度存在。在一些實施例中,與包含濃度為1.0 mM或更高之pH調節劑的醫藥組合物相比更高百分比之新抗原肽可溶於該醫藥組合物。在一些實施例中,與包含其中pH調節劑以1.0 mM或更高之濃度存在的醫藥組合物相比更高百分比之一或多種新抗原肽可溶於醫藥組合物。In some embodiments, each of the one or more neoantigenic peptides is present at a concentration of at least 1 μg/mL, at least 10 μg/mL, at least 25 μg/mL, at least 50 μg/mL, or at least 100 μg/mL. In some embodiments, each of the one or more neoantigenic peptides is at most 5000 μg/mL, at most 2500 μg/mL, at most 1000 μg/mL, at most 750 μg/mL, at most 500 μg/mL, at most 400 μg /mL or at most 300 μg/mL. In some embodiments, each of the one or more neoantigenic peptides ranges from 10 μg/mL to 5000 μg/mL, 10 μg/mL to 4000 μg/mL, 10 μg/mL to 3000 μg/mL, 10 μg/mL Concentrations of mL to 2000 μg/mL, 10 μg/mL to 1000 μg/mL, 25 μg/mL to 500 μg/mL, or 50 μg/mL to 300 μg/mL are present. In some embodiments, a higher percentage of neoantigen peptides are soluble in the pharmaceutical composition than the pharmaceutical composition containing a pH adjusting agent at a concentration of 1.0 mM or higher. In some embodiments, a higher percentage of one or more neoantigen peptides is soluble in the pharmaceutical composition than the pharmaceutical composition containing the pH adjusting agent present at a concentration of 1.0 mM or higher.

本文提供包含本文所提供之醫藥組合物的疫苗。在一些實施例中,疫苗為贅瘤疫苗。Provided herein is a vaccine comprising the pharmaceutical composition provided herein. In some embodiments, the vaccine is a neoplastic vaccine.

本文提供包含本文所提供之醫藥組合物的免疫原性組合物。Provided herein are immunogenic compositions comprising the pharmaceutical compositions provided herein.

本文提供疫苗接種或免疫接種套組,其包含:包含一或多種新抗原肽之凍乾組合物;pH調節劑;及合併(a)與(b)至溶液中的說明,其中該溶液包含濃度小於1.0 mM之pH調節劑。在一些實施例中,套組進一步包含病毒載體。在一些實施例中,套組進一步包含醫藥學上可接受之載劑。在一些實施例中,醫藥學上可接受之載劑為水。Provided herein is a vaccination or immunization kit comprising: a lyophilized composition containing one or more neoantigenic peptides; a pH adjuster; and instructions for combining (a) and (b) into a solution, where the solution contains the concentration PH adjuster less than 1.0 mM. In some embodiments, the kit further comprises a viral vector. In some embodiments, the kit further comprises a pharmaceutically acceptable carrier. In some embodiments, the pharmaceutically acceptable carrier is water.

本文提供疫苗接種或免疫接種套組,其包含:包含一或多種凍乾新抗原肽或其醫藥學上可接受之鹽之組合物;pH調節劑;及合併(a)與(b)至溶液中的說明,其中該溶液包含濃度小於1.0 mM之pH調節劑。Provided herein is a vaccination or immunization kit comprising: a composition comprising one or more lyophilized neoantigenic peptides or a pharmaceutically acceptable salt thereof; a pH adjusting agent; and combining (a) and (b) to a solution Instructions, where the solution contains a pH adjuster with a concentration of less than 1.0 mM.

在一些實施例中,疫苗接種或免疫接種套組進一步包含佐劑。在一些實施例中,疫苗接種或免疫接種套組進一步包含醫藥學上可接受之載劑。在一些實施例中,醫藥學上可接受之載劑為水。In some embodiments, the vaccination or immunization kit further comprises an adjuvant. In some embodiments, the vaccination or immunization kit further comprises a pharmaceutically acceptable carrier. In some embodiments, the pharmaceutically acceptable carrier is water.

本文提供製備醫藥組合物之方法,其包含合併一或多種凍乾新抗原肽與pH調節劑及醫藥學上可接受之載劑以形成肽溶液,其中該pH調節劑以小於1.0 mM之濃度存在。在一些實施例中,該方法進一步包含過濾肽溶液。Provided herein is a method of preparing a pharmaceutical composition, which comprises combining one or more lyophilized neoantigen peptides with a pH adjusting agent and a pharmaceutically acceptable carrier to form a peptide solution, wherein the pH adjusting agent is present at a concentration of less than 1.0 mM . In some embodiments, the method further comprises filtering the peptide solution.

本文提供製備本文所提供之醫藥組合物的方法,其包含合併一或多種新抗原肽與pH調節劑及醫藥學上可接受之載劑以形成肽溶液,其中該pH調節劑以小於1.0 mM之濃度存在。在一些實施例中,該方法進一步包含過濾肽溶液。在一些實施例中,一或多種新抗原肽在合併之前凍乾。Provided herein is a method of preparing a pharmaceutical composition provided herein, which comprises combining one or more new antigen peptides with a pH adjusting agent and a pharmaceutically acceptable carrier to form a peptide solution, wherein the pH adjusting agent is less than 1.0 mM Concentration exists. In some embodiments, the method further comprises filtering the peptide solution. In some embodiments, one or more neoantigenic peptides are lyophilized before pooling.

本文提供製備疫苗之方法,其包含合併本文所提供之醫藥組合物與免疫調節劑或佐劑。Provided herein is a method of preparing a vaccine, which comprises combining the pharmaceutical composition provided herein with an immunomodulator or adjuvant.

本文提供治療患有病況或疾病之受試者的方法,其包含向該受試者投與本文所提供之醫藥組合物從而治療病況或疾病。Provided herein is a method of treating a subject suffering from a condition or disease, which comprises administering to the subject the pharmaceutical composition provided herein to treat the condition or disease.

在一些實施例中,該方法進一步包含向受試者投與另一治療劑。在一些實施例中,該方法進一步包含向受試者投與第二醫藥組合物,其中該第二醫藥組合物為本文所提供之醫藥組合物。在一些實施例中,該方法進一步包含向受試者投與第三醫藥組合物,其中該第三醫藥組合物為本文所提供之醫藥組合物。在一些實施例中,該方法進一步包含向受試者投與第四醫藥組合物,其中該第四醫藥組合物為本文所提供之醫藥組合物。在一些實施例中,該方法進一步包含向受試者投與至少第五、第六、第七或第八醫藥組合物,其中該第五、第六、第七或第八醫藥組合物為本文所提供之醫藥組合物。In some embodiments, the method further comprises administering another therapeutic agent to the subject. In some embodiments, the method further comprises administering a second pharmaceutical composition to the subject, wherein the second pharmaceutical composition is the pharmaceutical composition provided herein. In some embodiments, the method further comprises administering a third pharmaceutical composition to the subject, wherein the third pharmaceutical composition is the pharmaceutical composition provided herein. In some embodiments, the method further comprises administering a fourth pharmaceutical composition to the subject, wherein the fourth pharmaceutical composition is the pharmaceutical composition provided herein. In some embodiments, the method further comprises administering at least a fifth, sixth, seventh, or eighth pharmaceutical composition to the subject, wherein the fifth, sixth, seventh, or eighth pharmaceutical composition is herein The provided pharmaceutical composition.

本文提供本文所提供之醫藥組合物的調配物,用於製備用以治療病況或疾病之藥劑。在一些實施例中,病況或疾病為贅瘤。在一些實施例中,贅瘤為癌症。Provided herein are formulations of the pharmaceutical compositions provided herein for use in the preparation of medicaments for the treatment of conditions or diseases. In some embodiments, the condition or disease is a neoplasm. In some embodiments, the neoplasm is cancer.

本文提供新抗原肽水溶液,其包含:一或多種新抗原肽;及以小於1.0 mM之濃度存在丁二酸或丁二酸鹽。Provided herein is an aqueous solution of neoantigen peptides, comprising: one or more neoantigen peptides; and the presence of succinic acid or succinate at a concentration of less than 1.0 mM.

本文提供製備新抗原肽水溶液之方法,其包含合併一或多種新抗原肽與丁二酸或丁二酸鹽及液體載劑,其中該丁二酸或丁二酸鹽以小於1.0 mM之濃度存在。Provided herein is a method for preparing a new antigen peptide aqueous solution, which comprises combining one or more new antigen peptides with succinic acid or succinate and a liquid carrier, wherein the succinic acid or succinate is present at a concentration of less than 1.0 mM .

本文提供增大一或多種新抗原肽之溶解度的方法,其包含調整pH調節劑之濃度,該pH調節劑存在於包含一或多種新抗原肽、pH調節劑及醫藥學上可接受之載劑的醫藥組合物中;其中調整包含使pH調節劑之濃度降低至小於1.0 mM之濃度。Provided herein is a method for increasing the solubility of one or more neoantigen peptides, which includes adjusting the concentration of a pH adjusting agent present in one or more neoantigen peptides, a pH adjusting agent, and a pharmaceutically acceptable carrier In the pharmaceutical composition; wherein the adjustment includes reducing the concentration of the pH adjusting agent to a concentration of less than 1.0 mM.

交叉參考Cross reference

本申請案主張2018年4月19日申請之美國臨時申請案第62/660,027號的優先權;其以全文引用之方式併入本文中。參考文獻併入 This application claims the priority of US Provisional Application No. 62/660,027 filed on April 19, 2018; it is incorporated herein by reference in its entirety. References incorporated

參考2014年12月5日申請之國際專利申請案第PCT/US2014/068893號,其主張2013年12月6日申請之美國臨時專利申請案第61/913,172號的優先權。Reference is made to International Patent Application No. PCT/US2014/068893 filed on December 5, 2014, which claims priority to US Provisional Patent Application No. 61/913,172 filed on December 6, 2013.

參考2016年6月9日申請之國際專利申請案序號PCT/US2016/036605,其主張2015年6月9日申請之美國臨時專利申請案第62/172,890號的優先權。With reference to the serial number of the international patent application PCT/US2016/036605 filed on June 9, 2016, it claims priority to the US Provisional Patent Application No. 62/172,890 filed on June 9, 2015.

本說明書中所提及之所有公開案、專利及專利申請案均以引用的方式併入本文中,其引用的程度如同各單獨的公開案、專利或專利申請案經特定及單獨地表明以引用的方式併入一般。All publications, patents and patent applications mentioned in this specification are incorporated herein by reference, to the same extent as if each individual publication, patent or patent application was specifically and individually indicated for reference The way into the general.

闡述本說明書之某些特定細節以便提供各種實施例之徹底理解。然而,熟習此項技術者將理解,本發明可在無此等細節之情況下實踐。在其他個例中,尚未展示或詳細描述熟知結構以避免實施例之不必要的模糊描述。Some specific details of this specification are set forth in order to provide a thorough understanding of various embodiments. However, those skilled in the art will understand that the present invention can be practiced without such details. In other cases, well-known structures have not been shown or described in detail to avoid unnecessarily obscure the description of the embodiments.

除非上下文另外要求,否則在本說明書及隨後申請專利範圍通篇中,詞語「包含(comprise)」及其變化形式(諸如「包含(comprises及comprising)」)應視為開放的包括性含義,亦即視為「包括但不限於」。另外,本文中所提供之標題僅為方便起見,而不解釋所主張之揭示內容之範疇或含義。Unless the context requires otherwise, throughout this specification and subsequent patent applications, the word "comprise" and its variations (such as "comprises and comprising") should be regarded as open and inclusive. It is regarded as "including but not limited to". In addition, the headings provided in this article are for convenience only and do not explain the scope or meaning of the claimed disclosure.

除非上下文另外明確指示,否則如本說明書及所附申請專利範圍中所使用,單數形式「一(a/an)」及「該(the)」包括複數個參考物。亦應注意,除非上下文另外明確指示,否則術語「或」通常以其包括「及/或」之意義而採用。Unless the context clearly indicates otherwise, the singular forms "a/an" and "the" include plural references as used in this specification and the appended patent applications. It should also be noted that, unless the context clearly indicates otherwise, the term "or" is generally adopted in the sense that it includes "and/or".

術語「約(about)」或「大致(approximately)」意謂在如由一般熟習此項技術者所測定之特定值之可接受誤差範圍內,其將部分取決於如何量測或測定該值,亦即量測系統之限制。舉例而言,根據此項技術中之實踐,「約」可意謂在1或大於1個標準偏差內。或者,「約」可意謂既定值之至多20%、至多10%、至多5%或至多1%之範圍。或者,尤其就生物系統或方法而言,該術語可意謂在一定值之一個數量級範圍內,較佳在5倍範圍內且更佳在2倍範圍內。當特定值描述於本申請案及申請專利範圍中時,除非另外說明,否則應假設術語「約」意謂在特定值之可接受誤差範圍內。除非上下文另外明確說明,否則本文所提供之所有數值均由術語約來修飾。The term "about" or "approximately" means within an acceptable error range for a particular value as determined by those of ordinary skill in the art, which will depend in part on how the value is measured or determined, This is the limitation of the measurement system. For example, according to the practice in this technology, "about" may mean within 1 or greater than 1 standard deviation. Alternatively, "about" may mean a range of at most 20%, at most 10%, at most 5%, or at most 1% of the predetermined value. Or, especially in terms of biological systems or methods, the term may mean within an order of magnitude of a certain value, preferably within 5 times and more preferably within 2 times. When a specific value is described in the scope of this application and the patent application, unless otherwise stated, it should be assumed that the term "about" means within an acceptable error range of the specific value. Unless the context clearly dictates otherwise, all numerical values provided herein are modified by the term about.

本文所提供之範圍意欲包括在該範圍內之所有值。舉例而言,範圍1至50應理解為包括來自由以下組成之群的任何數量、數量組合或子範圍:1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49或50,以及前述整數之間的所有中間小數值,諸如(例如)1.1、1.2、1.3、1.4、1.5、1.6、1.7、1.8及1.9。就子範圍而言,特別涵蓋自範圍之任一端點擴展的「嵌套子範圍」。舉例而言,例示性範圍1至50之嵌套子範圍可包含一個方向上的1至10、1至20、1至30及1至40,或另一方向上的50至40、50至30、50至20及50至10。The ranges provided herein are intended to include all values within that range. For example, the range 1 to 50 should be understood to include any number, combination of numbers, or sub-ranges from the group consisting of: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, or 50, and all intermediate decimal values between the aforementioned integers, such as (for example) 1.1, 1.2, 1.3, 1.4 , 1.5, 1.6, 1.7, 1.8 and 1.9. As far as sub-ranges are concerned, they specifically cover "nested sub-ranges" that extend from either end of the range. For example, the nested sub-ranges of the exemplary range 1 to 50 may include 1 to 10, 1 to 20, 1 to 30, and 1 to 40 in one direction, or 50 to 40, 50 to 30, in the other direction, 50 to 20 and 50 to 10.

除非另外定義,否則本文所用之所有技術及科學術語均具有與一般熟習本發明所屬技術者通常所理解相同的含義。儘管類似於或等效於本文所描述之彼等方法及材料之方法及材料可用於實踐或測試本文所描述之各種態樣,但下文描述適合之方法及材料。定義 Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by those skilled in the art to which the present invention belongs. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of various aspects described herein, suitable methods and materials are described below. definition

術語「類似物」視為意謂不相同但具有類似功能性或結構特徵之分子。舉例而言,腫瘤特異性新抗原多肽類似物保持相應天然存在之腫瘤特異性新抗原多肽的生物活性,同時具有可使類似物之功能相對於天然存在之多肽增強的某些生物化學修飾。此等生物化學修飾可增大類似物之蛋白酶抗性、膜滲透率或半衰期,而不會改變例如配位體結合。類似物可包括非標準或非天然胺基酸。The term "analog" is considered to mean molecules that are different but have similar functional or structural characteristics. For example, a tumor-specific neoantigen polypeptide analog maintains the biological activity of the corresponding naturally-occurring tumor-specific neoantigen polypeptide, while having certain biochemical modifications that can enhance the function of the analog relative to the naturally occurring polypeptide. These biochemical modifications can increase the protease resistance, membrane permeability or half-life of the analog without changing, for example, ligand binding. Analogs may include non-standard or non-natural amino acids.

術語「新抗原(neo-antigen)」及「新抗原(neoantigen)」可互換使用。術語「新抗原性(neo-antigenic)」及「新抗原性(neoantigenic)」可互換使用。術語「新抗原(neo-antigen)」、「新抗原(neoantigen)」、「新抗原性(neo-antigenic)」或「新抗原性(neoantigenic)」可指未在正常、非突變宿主基因組中編碼之抗原。新抗原可關於與親本抗原相比包括一或多種胺基酸修飾之抗原。舉例而言,新抗原可為腫瘤相關新抗原,其中術語「腫瘤相關新抗原」可包括肽或蛋白,該肽或蛋白包括由腫瘤特異性突變所致之胺基酸修飾。在一些個例中,新抗原代表由於體細胞突變而產生之致癌病毒蛋白或異常蛋白。舉例而言,新抗原可藉由經由病毒蛋白之活性破壞細胞機制而產生。另一實例可為曝露於致癌化合物,其在一些情況下會引起體細胞突變。此體細胞突變最終可導致形成腫瘤/癌症。The terms "neo-antigen" and "neoantigen" are used interchangeably. The terms "neo-antigenic" and "neoantigenic" are used interchangeably. The terms ``neo-antigen'', ``neoantigen'', ``neo-antigenic'' or ``neoantigenic'' may mean not encoded in the normal, non-mutated host genome Of antigen. Neoantigens can include one or more amino acid-modified antigens compared to the parent antigen. For example, the neoantigen may be a neoplasm-associated neoantigen, wherein the term "tumor-associated neoantigen" may include a peptide or protein including amino acid modifications caused by tumor-specific mutations. In some cases, neoantigens represent oncogenic viral proteins or abnormal proteins that are produced by somatic mutations. For example, new antigens can be produced by disrupting cellular mechanisms through the activity of viral proteins. Another example can be exposure to carcinogenic compounds, which in some cases can cause somatic mutations. This somatic mutation can eventually lead to the formation of a tumor/cancer.

術語「贅瘤」視為意謂由不適當地高水平之細胞分裂、不適當地低水平之細胞凋亡或兩者所導致或引起的任何疾病。舉例而言,癌症為贅瘤之實例。癌症之實例包括但不限於:白血病(例如急性白血病、急性淋巴球性白血病、急性骨髓細胞性白血病、急性骨髓母細胞性白血病、急性前髓細胞性白血病、急性骨髓單核細胞性白血病、急性單核球性白血病、急性紅白血病、慢性白血病、慢性骨髓細胞性白血病、慢性淋巴球性白血病);真性紅血球增多症;淋巴瘤(例如霍奇金氏病(Hodgkin's disease)、非霍奇金氏病);瓦爾登斯特倫巨球蛋白血症(Waldenstrom's macroglobulinemia);重鏈疾病及實體腫瘤,諸如肉瘤及癌瘤(例如纖維肉瘤、黏液肉瘤、脂肪肉瘤、軟骨肉瘤、骨原性肉瘤、脊索瘤、血管肉瘤、內皮肉瘤、淋巴管肉瘤、淋巴內皮肉瘤、滑膜瘤、間皮瘤、尤文氏腫瘤(Ewing's tumor)、平滑肌肉瘤、橫紋肌肉瘤、結腸癌瘤、胰臟癌、乳癌、三陰性乳癌(TNBC)、卵巢癌、前列腺癌、鱗狀細胞癌瘤、基底細胞癌瘤、腺癌瘤、汗腺癌瘤、皮脂腺癌瘤、乳頭狀癌瘤、乳頭狀腺癌瘤、囊腺癌瘤、髓質癌瘤、支氣管癌瘤、腎細胞癌瘤、肝腫瘤、尼羅河導管癌瘤(nile duct carcinoma)、絨膜癌瘤、精細胞癌、胚胎癌瘤、威爾姆氏腫瘤(Wilm's tumor)、宮頸癌、子宮癌、睪丸癌、肺癌瘤、小細胞肺癌瘤、膀胱癌瘤、上皮癌瘤、神經膠質瘤、星形細胞瘤、神經管胚細胞瘤、顱咽管瘤、室管膜瘤、松果體瘤、血管母細胞瘤、聽神經瘤、寡樹突膠質瘤、神經鞘瘤、脊膜瘤、黑色素瘤、神經母細胞瘤及視網膜母細胞瘤)。淋巴增生病症亦視為增生性疾病。The term "neoplastic tumor" is considered to mean any disease caused or caused by inappropriately high levels of cell division, inappropriately low levels of apoptosis, or both. For example, cancer is an example of neoplasia. Examples of cancer include, but are not limited to: leukemia (eg, acute leukemia, acute lymphocytic leukemia, acute myelogenous leukemia, acute myelogenous leukemia, acute promyeloid leukemia, acute myelomonocytic leukemia, acute monocytic leukemia Nuclear leukemia, acute erythroleukemia, chronic leukemia, chronic myeloid leukemia, chronic lymphocytic leukemia); polycythemia vera; lymphoma (eg, Hodgkin's disease, non-Hodgkin's disease) ); Waldenstrom's macroglobulinemia; heavy chain diseases and solid tumors, such as sarcomas and carcinomas (eg, fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma) , Angiosarcoma, endothelial sarcoma, lymphangiosarcoma, lymphatic endothelial sarcoma, synovial tumor, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon cancer, pancreatic cancer, breast cancer, triple negative breast cancer (TNBC), ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous carcinoma, papillary carcinoma, papillary adenocarcinoma, cystadenocarcinoma, marrow Carcinoma, bronchial carcinoma, renal cell carcinoma, liver tumor, nile duct carcinoma, choriocarcinoma, sperm cell carcinoma, embryonal carcinoma, Wilm's tumor, cervix Cancer, uterine cancer, testicular cancer, lung cancer, small cell lung cancer, bladder cancer, epithelial cancer, glioma, astrocytoma, neuroblastoma, craniopharyngioma, ependymoma, pine (Fruitoma, hemangioblastoma, acoustic neuroma, oligodendroglioma, schwannomas, meningiomas, melanoma, neuroblastoma and retinoblastoma). Lymphoproliferative disorders are also considered proliferative diseases.

術語「疫苗」可關於在投與後即刻誘發識別及攻擊病原體或諸如癌細胞之病變細胞的免疫反應(尤其細胞免疫反應)之醫藥製劑(醫藥組合物)或產品。疫苗可用於預防或治療疾病。The term "vaccine" may refer to a pharmaceutical preparation (pharmaceutical composition) or product that induces an immune response (especially a cellular immune response) that recognizes and attacks pathogens or diseased cells such as cancer cells immediately after administration. Vaccines can be used to prevent or treat diseases.

術語「贅瘤疫苗」意欲指贅瘤/腫瘤特異性新抗原之組合,例如至少兩種、至少三種、至少四種、至少五種或更多種新抗原肽。「疫苗」應理解為意謂用於產生免疫性用以預防及/或治療疾病(例如贅瘤/腫瘤)之組合物。因此,疫苗為包含抗原且意欲用於人類或動物用以藉由疫苗接種產生特異性防禦及保護性物質之藥劑。「贅瘤疫苗組合物」可包括醫藥學上可接受之賦形劑、載劑或稀釋劑。The term "neoplastic tumor vaccine" is intended to refer to a neoplastic/tumor-specific neoantigen combination, such as at least two, at least three, at least four, at least five or more neoantigenic peptides. "Vaccine" is understood to mean a composition used to generate immunity for the prevention and/or treatment of diseases (eg neoplasms/tumors). Therefore, a vaccine is an agent that contains an antigen and is intended for use by humans or animals to produce specific defense and protective substances through vaccination. The "tumor vaccine composition" may include pharmaceutically acceptable excipients, carriers or diluents.

術語「醫藥學上可接受之」可指由聯邦或州政府之監管機構核准或可核准,或在美國藥典或用於動物(包括人類)之其他公認藥典中列出的。The term "pharmacologically acceptable" may refer to approval or approval by a regulatory agency of the federal or state government, or it is listed in the United States Pharmacopoeia or other recognized pharmacopeia for animals (including humans).

「醫藥學上可接受之載劑、賦形劑或稀釋劑」可指可與活性成分一起向受試者投與之載劑、賦形劑或稀釋劑,諸如小分子化合物、抗體、核酸分子、肽、多肽及其片段,且其並不破壞活性成分之藥理學活性。"Pharmaceutically acceptable carrier, excipient or diluent" may refer to a carrier, excipient or diluent that can be administered to the subject together with the active ingredient, such as small molecule compounds, antibodies, nucleic acid molecules , Peptides, polypeptides and fragments thereof, and they do not destroy the pharmacological activity of the active ingredient.

新抗原肽或新抗原肽之組合的「醫藥學上可接受之鹽」可指此項技術中通常認為適合於與人類或動物之組織接觸使用而不具有過度毒性、刺激、過敏反應或其他問題或併發症之酸鹽或鹼鹽。此等鹽包括鹼性殘餘物(諸如胺)之無機及有機酸鹽,以及酸性殘餘物(諸如羧酸)之鹼性鹽或有機鹽。特定的醫藥鹽包括但不限於以下酸之鹽:諸如氫氯酸、磷酸、氫溴酸、蘋果酸、乙醇酸、反丁烯二酸、硫酸、胺磺酸、對胺基苯磺酸、甲酸、甲苯磺酸、甲磺酸、苯磺酸、乙烷二磺酸、2-羥基乙磺酸、硝酸、苯甲酸、2-乙醯氧基苯甲酸、檸檬酸、酒石酸、乳酸、硬脂酸、水楊酸、麩胺酸、抗壞血酸、雙羥萘酸、丁二酸、反丁烯二酸、順丁烯二酸、丙酸、羥基順丁烯二酸、氫碘酸、苯乙酸;烷酸,諸如乙酸、HOOC-(CH2 )n -COOH,其中n為0至4,及類似酸。類似地,醫藥學上可接受之陽離子包括但不限於鈉、鉀、鈣、鋁、鋰及銨。新抗原肽之「醫藥學上可接受之鹽」亦可指由Remington's Pharmaceutical Sciences, 第17版, Mack Publishing Company, Easton, PA, 第1418頁 (1985)所列之彼等。一般而言,醫藥學上可接受之酸鹽或鹼鹽可藉由任何習知化學方法自含有鹼性或酸性部分之母化合物合成。簡言之,此等鹽可藉由使此等化合物之游離酸或鹼形式與化學計算量的適當鹼或酸在適當溶劑中反應來製備。The "pharmaceutically acceptable salt" of neoantigen peptides or combinations of neoantigen peptides may refer to the technology generally considered suitable for use in contact with human or animal tissues without excessive toxicity, irritation, allergic reactions or other problems Or complication of acid or alkali salts. Such salts include inorganic and organic acid salts of basic residues (such as amines), and basic or organic salts of acidic residues (such as carboxylic acids). Specific pharmaceutical salts include, but are not limited to, the following acid salts: such as hydrochloric acid, phosphoric acid, hydrobromic acid, malic acid, glycolic acid, fumaric acid, sulfuric acid, sulfamic acid, p-aminobenzenesulfonic acid, formic acid , Toluenesulfonic acid, methanesulfonic acid, benzenesulfonic acid, ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, nitric acid, benzoic acid, 2-acetoxybenzoic acid, citric acid, tartaric acid, lactic acid, stearic acid , Salicylic acid, glutamic acid, ascorbic acid, pamoic acid, succinic acid, fumaric acid, maleic acid, propionic acid, hydroxymaleic acid, hydroiodic acid, phenylacetic acid; alkane Acids such as acetic acid, HOOC-(CH 2 ) n -COOH, where n is 0 to 4, and similar acids. Similarly, pharmaceutically acceptable cations include but are not limited to sodium, potassium, calcium, aluminum, lithium and ammonium. The "pharmaceutically acceptable salts" of neoantigen peptides may also refer to those listed by Remington's Pharmaceutical Sciences, 17th Edition, Mack Publishing Company, Easton, PA, page 1418 (1985). In general, pharmaceutically acceptable acid or base salts can be synthesized from the parent compound containing a basic or acidic moiety by any conventional chemical method. Briefly, these salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of a suitable base or acid in a suitable solvent.

術語「多肽」或「肽」可指已與天然伴隨其之組分分離的多肽。除非另外指定,否則術語「多肽」或「肽」涵蓋凍乾肽及該肽之醫藥學上可接受之鹽。通常,本文所提供之肽具有至少60重量%之純度,不含與其天然相關之蛋白及天然存在之有機分子。或者,肽具有至少75重量%、至少90重量%或至少99重量%之純度。肽可例如藉由自天然來源提取、藉由編碼此類肽之重組核酸之表現;或藉由化學合成來獲得。肽之純度可藉由任何適當方法量測,例如管柱層析法、聚丙烯醯胺凝膠電泳及HPLC分析。The term "polypeptide" or "peptide" may refer to a polypeptide that has been separated from components that naturally accompany it. Unless otherwise specified, the term "polypeptide" or "peptide" covers lyophilized peptides and pharmaceutically acceptable salts of the peptides. Generally, the peptides provided herein have a purity of at least 60% by weight, free of proteins and naturally occurring organic molecules that are naturally associated with them. Alternatively, the peptide has a purity of at least 75% by weight, at least 90% by weight, or at least 99% by weight. Peptides can be obtained, for example, by extraction from natural sources, by expression of recombinant nucleic acids encoding such peptides; or by chemical synthesis. The purity of the peptide can be measured by any suitable method, such as column chromatography, polyacrylamide gel electrophoresis, and HPLC analysis.

術語「受試者」可指作為治療、觀測或實驗之目標之動物。僅舉例而言,受試者包括但不限於:哺乳動物,包括但不限於人類或非人類哺乳動物,諸如非人類靈長類動物、牛科動物、馬科動物、犬科動物、綿羊科動物或貓科動物。The term "subject" may refer to an animal that is the target of treatment, observation or experiment. By way of example only, subjects include, but are not limited to: mammals, including but not limited to human or non-human mammals, such as non-human primates, bovines, equines, canines, ovine Or cats.

如本文所用,術語「預防(prevent/preventing/prevention)」、「預防性治療(prophylactic treatment)」及其類似術語係指使未患有、但處於患有疾病或病況之風險或易患有疾病或病況之受試者中患有疾病或病況的機率減小。As used herein, the terms "prevent/preventing/prevention", "prophylactic treatment" and similar terms refer to those who are not suffering from, but at risk of suffering from a disease or condition or are susceptible to a disease or The probability of having a disease or condition in a subject with a condition is reduced.

術語「治療(treat/treated/treating/treatment)」及其類似術語意欲指減輕或改善病症及/或與其相關之症狀(例如贅瘤或腫瘤)。「治療」包括「緩解」之概念,其係指減少與癌症有關之任何症狀或其他疾病影響及/或與癌症療法相關之副作用的發生或復發頻率或嚴重度。術語「治療」亦涵蓋「管理」之概念,其係指降低患者之特定疾病或病症的嚴重度或延遲其復發,例如延長已罹患該疾病之患者之緩解時間。應瞭解,雖然不排除,但治療病症或病況不要求病症、病況或與其相關的症狀完全消除。The term "treat/treated/treating/treatment" and similar terms are intended to mean reducing or ameliorating the condition and/or symptoms associated with it (eg, neoplasms or tumors). "Treatment" includes the concept of "remission", which means reducing the frequency or severity of the occurrence or recurrence of any symptoms related to cancer or the effects of other diseases and/or side effects associated with cancer therapy. The term "treatment" also covers the concept of "management", which refers to reducing the severity of a patient's specific disease or condition or delaying its recurrence, for example, prolonging the remission time of patients already suffering from the disease. It should be understood that although not excluded, the treatment of a condition or condition does not require the complete elimination of the condition, condition or symptoms related thereto.

「減少」意謂負向改變至少10%、25%、50%、75%或100%。"Decrease" means a negative change of at least 10%, 25%, 50%, 75% or 100%.

術語「療效」係指病症(例如贅瘤或腫瘤)或其相關病理之一或多種症狀之一定程度的減輕。如本文所用,「治療有效量」係指藥劑之量,其在向細胞或受試者單次或多次劑量投與後,有效延長患有此類病症之患者的存活期、減少病症之一或多種病徵及症狀、阻止或延遲(及其類似作用)而超過在缺乏此等治療下所預計的。「治療有效量」意欲限定達成療效所要求的量。具有一般技能之醫師或獸醫容易確定及規定所要求的醫藥組合物之「治療有效量」(例如ED50)。舉例而言,醫師或獸醫可以低於為達成所需療效所要求之水平起用醫藥組合物中所用之化合物的劑量,且逐漸增大劑量直至達成所需效果。The term "curative effect" refers to a certain degree of alleviation of a condition (eg, neoplasm or tumor) or one or more symptoms of its associated pathology. As used herein, "therapeutically effective amount" refers to an amount of an agent that, after single or multiple dose administration to cells or subjects, effectively prolongs the survival period of patients with such disorders and reduces one of the disorders Or more symptoms and symptoms, prevention or delay (and similar effects) than expected in the absence of such treatment. "Therapeutically effective amount" is intended to limit the amount required to achieve a therapeutic effect. A physician or veterinarian with general skills can easily determine and specify the "therapeutically effective amount" of the required pharmaceutical composition (eg, ED50). For example, a physician or veterinarian may start a dosage of the compound used in the pharmaceutical composition below the level required to achieve the desired therapeutic effect, and gradually increase the dosage until the desired effect is achieved.

醫藥組合物通常應提供每天每公斤體重約0.0001 mg至約200 mg化合物之劑量。舉例而言,向人類患者全身性投與之劑量可在0.01至10 µg/kg、20至80 mg/kg、5至50 µg/kg、75至150 µg/kg、100至500 mg/kg、250至750 µg/kg、500至1000 µg/kg、1至10 mg/kg、5至50 mg/kg、25至75 mg/kg、50至100 mg/kg、1.00至250 mg/kg、50至100 mg/kg、250至500 mg/kg、500至750 mg/kg、750至1000 mg/kg、1000至1500 mg/kg、1500至2000 mg/kg、5 mg/kg、20 mg/kg、50 mg/kg、1.00 mg/kg或200 mg/kg之範圍內。製備醫藥單位劑型以提供每單位劑型約0.001至約5000 mg (例如約100至約2500 mg)化合物或基本成分之組合。贅瘤 / 腫瘤特異性抗原 Pharmaceutical compositions should generally provide a dosage of about 0.0001 mg to about 200 mg of compound per kg of body weight per day. For example, systemic doses to human patients can range from 0.01 to 10 µg/kg, 20 to 80 mg/kg, 5 to 50 µg/kg, 75 to 150 µg/kg, 100 to 500 mg/kg, 250 to 750 µg/kg, 500 to 1000 µg/kg, 1 to 10 mg/kg, 5 to 50 mg/kg, 25 to 75 mg/kg, 50 to 100 mg/kg, 1.00 to 250 mg/kg, 50 To 100 mg/kg, 250 to 500 mg/kg, 500 to 750 mg/kg, 750 to 1000 mg/kg, 1000 to 1500 mg/kg, 1500 to 2000 mg/kg, 5 mg/kg, 20 mg/kg , 50 mg/kg, 1.00 mg/kg or 200 mg/kg. Pharmaceutical unit dosage forms are prepared to provide about 0.001 to about 5000 mg (eg, about 100 to about 2500 mg) compound or combination of basic ingredients per unit dosage form. Neoplasm / tumor specific antigen

本發明係關於疫苗及經由向受試者(例如哺乳動物,諸如人類)投與治療有效量之包含複數個贅瘤/腫瘤特異性新抗原的醫藥組合物(例如癌症疫苗)治療贅瘤(且更特定言之腫瘤)之方法。如本文所描述,全基因組/外顯子組測序可用以識別特別存在於個別患者之贅瘤/腫瘤中之所有或接近所有突變新抗原,且可分析此突變新抗原之集合以識別新抗原的特異性、最佳化子集,以用作用於治療患者之贅瘤/腫瘤的個人化癌症疫苗或免疫原性組合物。舉例而言,藉由測序贅瘤/腫瘤及各患者之正常DNA可識別出贅瘤/腫瘤特異性新抗原之群體以識別腫瘤特異性突變,且可識別出患者之人類白細胞抗原(HLA)異型。隨後可使用經驗證之算法對贅瘤/腫瘤特異性新抗原之群體及其同源原生抗原進行生物資訊學分析,以預測何種腫瘤特異性突變形成可結合至患者之HLA異型的抗原決定基。基於此分析,可針對各患者設計且合成對應於此等突變之子集的複數種肽,且合併在一起以用作使患者免疫的癌症疫苗或免疫原性組合物。可將新抗原肽與佐劑(例如聚-ICLC)或另一種抗贅生劑合併。不受理論束縛,預期此等新抗原繞過中心胸腺耐受性(因此允許更強抗腫瘤T細胞反應),同時減少自體免疫可能性(例如藉由避免靶向正常的自身抗原)。The present invention relates to vaccines and the treatment of neoplasms by administering a therapeutically effective amount of a pharmaceutical composition (e.g., cancer vaccine) comprising a plurality of neoplasms/tumor-specific neoantigens to a subject (e.g., mammals, such as humans) (and More specifically the tumor) method. As described herein, whole-genome/exome sequencing can be used to identify all or nearly all mutated neoantigens that are particularly present in neoplasms/tumors of individual patients, and the set of mutated neoantigens can be analyzed to identify the neoantigens Specific, optimized subset for use as a personalized cancer vaccine or immunogenic composition for treating neoplasms/tumors of patients. For example, by sequencing neoplastic/tumor and normal DNA of each patient, a population of neoplastic/tumor-specific neoantigens can be identified to identify tumor-specific mutations, and the patient’s human leukocyte antigen (HLA) isoform can be identified . A validated algorithm can then be used to perform bioinformatics analysis on neoplastic/tumor-specific neoantigen populations and their cognate primary antigens to predict which tumor-specific mutations form an epitope that can bind to the patient’s HLA heterotype . Based on this analysis, multiple peptides corresponding to a subset of these mutations can be designed and synthesized for each patient and combined together to be used as a cancer vaccine or immunogenic composition to immunize the patient. The neoantigenic peptide can be combined with an adjuvant (eg poly-ICLC) or another anti-neoplastic agent. Without being bound by theory, these new antigens are expected to bypass central thymus tolerance (thus allowing a stronger anti-tumor T cell response) while reducing the possibility of autoimmunity (eg, by avoiding targeting normal self-antigens).

可將免疫系統分類成兩種功能子系統:先天性及後天性免疫系統。先天性免疫系統為對抗感染的第一道防線,且大部分可能性病原體在其可能導致例如明顯感染之前由此系統快速中和。後天性免疫系統與侵入生物體之分子結構(稱為抗原)發生反應。存在兩種類型之後天性免疫反應,體液免疫反應及細胞介導的免疫反應。在體液免疫反應中,由B細胞分泌進入體液中之抗體結合至病原體源性抗原,使得經由多種機制(例如補體介導的裂解)消除病原體。在細胞介導的免疫反應中,能夠破壞其他細胞的T細胞經活化。舉例而言,若與疾病相關之蛋白存在於細胞中時,則其在細胞內以蛋白分解方式分裂成肽。隨後特異性細胞蛋白將自身附接至抗原或以此方式形成之肽且將其轉移至細胞之表面。一旦出現將其呈現至身體之分子防禦機制,尤其T細胞。細胞毒性T細胞識別此等抗原且殺死攜帶抗原的細胞。The immune system can be classified into two functional subsystems: innate and acquired immune systems. The innate immune system is the first line of defense against infection, and most probable pathogens are quickly neutralized by the system before it can cause, for example, a significant infection. The acquired immune system reacts with the molecular structure (called antigen) of the invading organism. There are two types of innate immune responses, humoral immune responses and cell-mediated immune responses. In the humoral immune response, antibodies secreted by B cells into the humor bind to pathogen-derived antigens, allowing pathogens to be eliminated via various mechanisms, such as complement-mediated lysis. In a cell-mediated immune response, T cells that can destroy other cells are activated. For example, if a disease-associated protein is present in a cell, it is proteolytically split into peptides within the cell. The specific cell protein then attaches itself to the antigen or peptide formed in this way and transfers it to the surface of the cell. Once there is a molecular defense mechanism that presents it to the body, especially T cells. Cytotoxic T cells recognize these antigens and kill the cells that carry the antigen.

轉移且呈現肽於細胞表面上之分子被稱為主要組織相容複合物(MHC)之蛋白。將MHC蛋白分成兩種類型:稱為I類MHC及II類MHC。儘管兩個MHC類別之蛋白之結構極其相似,但其具有極其不同的功能。I類MHC蛋白存在於上身體幾乎所有細胞(包括大部分腫瘤細胞)的表面上。I類MHC蛋白負載有通常來源於內源性蛋白或來源於存在於細胞內之病原體的抗原,且隨後呈現至原生或細胞毒性T-淋巴細胞(CTL)。II類MHC蛋白存在於樹突狀細胞、B淋巴球、巨噬細胞及其他抗原呈現細胞上。其主要呈現自外部抗原來源(亦即細胞外部,至T-輔助(Th)細胞)處理之肽。I類MHC蛋白所結合之大部分肽來源於生物體自身之健康宿主細胞中所產生的細胞質蛋白,且通常不刺激免疫反應。因此,識別此等自身肽呈現I類MHC分子之細胞毒性T-淋巴球在胸腺(中心耐受性)中缺失,或在其自胸腺中釋放之後缺失或不活化(亦即耐受(周邊耐受性))。MHC分子在其將肽呈現至非耐受T淋巴球時能夠刺激免疫反應。細胞毒性T淋巴球在其表面上具有T細胞受體(TCR)與CD8分子。T細胞受體能夠識別且結合與I類MHC分子複合的肽。各細胞毒性T淋巴球表現能夠結合特異性MHC/肽複合物之獨特T細胞受體。Molecules that transfer and display peptides on the cell surface are called major histocompatibility complex (MHC) proteins. The MHC protein is divided into two types: called MHC class I and MHC class II. Although the structures of the two MHC classes of proteins are very similar, they have very different functions. Class I MHC proteins are present on the surface of almost all cells (including most tumor cells) of the upper body. Class I MHC proteins are loaded with antigens usually derived from endogenous proteins or from pathogens present in the cells, and then presented to native or cytotoxic T-lymphocytes (CTL). Class II MHC proteins are present on dendritic cells, B lymphocytes, macrophages and other antigen presenting cells. It mainly presents peptides processed from external antigen sources (ie, from outside the cell to T-helper (Th) cells). Most of the peptides bound by class I MHC proteins are derived from cytoplasmic proteins produced in the organism's own healthy host cells and generally do not stimulate immune responses. Therefore, cytotoxic T-lymphocytes recognizing that these self-peptides exhibit MHC class I molecules are missing in the thymus (central tolerance), or are missing or inactivated after their release from the thymus (i.e., tolerance (peripheral resistance Acceptability)). MHC molecules can stimulate immune responses when they present peptides to non-tolerant T lymphocytes. Cytotoxic T lymphocytes have T cell receptor (TCR) and CD8 molecules on their surface. T cell receptors can recognize and bind peptides complexed with class I MHC molecules. Each cytotoxic T lymphocyte exhibits a unique T cell receptor capable of binding a specific MHC/peptide complex.

肽抗原在其呈現於細胞表面上之前,藉由內質網內的競爭性親和力結合而使自身附接至I類MHC分子。在此,個別肽抗原之親和力與其胺基酸序列及胺基酸序列內限定位置中特異性結合基元之存在直接相關。因此,若此類肽之序列已知,則或許有可能使用例如肽疫苗操控免疫系統對抗病變細胞。Peptide antigens attach themselves to MHC class I molecules by competitive affinity binding within the endoplasmic reticulum before they appear on the cell surface. Here, the affinity of individual peptide antigens is directly related to the amino acid sequence and the presence of specific binding motifs in defined positions within the amino acid sequence. Therefore, if the sequence of such peptides is known, it may be possible to use, for example, peptide vaccines to manipulate the immune system against diseased cells.

研發治癒性及腫瘤特異性免疫療法之關鍵障礙之一為識別及選擇高度特異性及受限制腫瘤抗原以避免自體免疫。在惡性細胞內作為遺傳變化(例如反轉、易位、缺失、錯義突變、剪接位點突變等)結果產生之腫瘤新抗原代表抗原之大部分腫瘤特異性類別。目前,由於識別新抗原、選擇最佳化新抗原及生產用於疫苗或免疫原性組合物中之新抗原中之技術難題,新抗原已很少用於癌症疫苗或免疫原性組合物。此等問題可藉由以下克服:使用全基因組、全外顯子組(例如僅所捕獲之外顯子)或腫瘤對比來自每個患者的匹配生殖系樣品之RNA測序在DNA水平識別贅瘤/腫瘤中之所有或接近所有突變;用一或多種肽-MHC結合預測算法分析所識別之突變以便產生複數種在贅瘤/腫瘤內表現且可結合患者HLA等位基因的候選新抗原T細胞抗原決定基;及合成複數種選自所有neoORF肽及所預測的結合肽組之候選新抗原肽用於癌症疫苗或免疫原性組合物。One of the key obstacles to the development of curative and tumor-specific immunotherapy is the identification and selection of highly specific and restricted tumor antigens to avoid autoimmunity. Tumor neoantigens generated as a result of genetic changes (such as reversals, translocations, deletions, missense mutations, splice site mutations, etc.) within malignant cells represent most tumor-specific classes of antigens. At present, due to technical difficulties in identifying new antigens, selecting and optimizing new antigens, and producing new antigens for use in vaccines or immunogenic compositions, new antigens have rarely been used in cancer vaccines or immunogenic compositions. These problems can be overcome by using whole genomes, whole exomes (e.g. only captured exons), or tumors to identify tumors at the DNA level by comparing RNA sequencing of matched germline samples from each patient/ All or nearly all mutations in the tumor; use one or more peptide-MHC binding prediction algorithms to analyze the identified mutations in order to generate a plurality of candidate neoantigen T cell antigens that appear in neoplasms/tumor and can bind to the patient's HLA allele Determinant; and synthesis of a plurality of candidate neoantigen peptides selected from all neoORF peptides and predicted binding peptide groups for use in cancer vaccines or immunogenic compositions.

舉例而言,將測序資訊轉譯成治療疫苗可包括: (1)預測可結合至個體之 HLA 分子的個人突變肽。 有效選擇何種特定突變用作免疫原需要識別患者HLA類型及能夠預測何種突變肽將有效結合至患者之HLA等位基因。近來,基於神經網路之學習方式以及經驗證之結合肽及非結合肽已使針對主要HLA-A及HLA-B等位基因之預測算法的準確度提高。 (2)將藥物調配為長肽之多抗原決定基疫苗。 實際上儘可能多靶向突變抗原決定基利用免疫系統之巨大能力,藉由下調特定免疫靶向基因產物來防止免疫逃避機會,且彌補抗原決定基預測方式的已知不準確度。合成肽提供用於有效製備多重免疫原之特別適用的方式且能夠將經識別之突變體抗原決定基迅速轉譯成有效疫苗。藉由利用不含污染性細菌之試劑或動物物質可易於以化學方式合成肽且易於純化肽。小尺寸引起蛋白之突變域上的明確病灶且亦減少來自其他組分(例如非突變蛋白或病毒載體抗原)之無關抗原競爭。For example, translating sequencing information into therapeutic vaccines can include: (1) Personal mutant peptides predicted to bind to HLA molecules of individuals. Effective selection of which specific mutation to use as an immunogen requires identifying the patient's HLA type and being able to predict which mutant peptide will effectively bind to the patient's HLA allele. Recently, learning methods based on neural networks and verified binding peptides and non-binding peptides have improved the accuracy of prediction algorithms for major HLA-A and HLA-B alleles. (2) The drug is formulated as a long peptide multi-epitope vaccine. In fact, targeting as many mutant epitopes as possible takes advantage of the enormous power of the immune system to prevent immune escape opportunities by down-regulating specific immune targeting gene products, and to compensate for known inaccuracies in the way epitopes are predicted. Synthetic peptides provide a particularly suitable way to efficiently prepare multiple immunogens and can quickly translate the identified mutant epitopes into an effective vaccine. By using reagents or animal substances that do not contain contaminating bacteria, peptides can be easily synthesized chemically and peptides can be easily purified. The small size causes a definite lesion on the mutant domain of the protein and also reduces unrelated antigen competition from other components (such as non-mutant proteins or viral vector antigens).

強疫苗佐劑合併。 有效疫苗可能需要強佐劑以引發免疫反應。如本文所描述,聚-ICLC (TLR3之促效劑以及MDA5及RIG3之RNA解螺旋酶域)已證實具有疫苗佐劑所需之若干合乎需要的性質。此等性質包括但不限於:活體內誘發免疫細胞之局部及全身性活化,產生趨化介素及細胞介素以及藉由DCs刺激抗原呈現。此外,聚-ICLC可在人體中誘發持久的CD4+及CD8+反應。值得注目地,在已接種聚-ICLC之受試者中及在已接受高度有效、複製勝任型黃熱病疫苗之志願者中觀測到在轉錄及訊號轉導通路之上調中的驚人類似性。此外,在最新1期研究中,用聚-ICLC與NY-ESO-1肽疫苗(除Montanide之外)組合免疫之卵巢癌患者中> 90%展示CD4+及CD8+ T細胞之誘發以及抗體對肽之反應。最終,迄今為止聚ICLC已在超過25次臨床試驗中充分測試且展現相對良性的毒性概況。進一步優勢在本文中描述。 Merged with strong vaccine adjuvant. Effective vaccines may require strong adjuvants to elicit an immune response. As described herein, poly-ICLC (an agonist of TLR3 and the RNA helicase domain of MDA5 and RIG3) has been demonstrated to have several desirable properties required for vaccine adjuvants. These properties include, but are not limited to: in vivo induction of local and systemic activation of immune cells, production of chemoattractants and cytokines, and stimulation of antigen presentation by DCs. In addition, poly-ICLC can induce long-lasting CD4+ and CD8+ responses in humans. Notably, surprising similarities in the upregulation of transcription and signal transduction pathways were observed in subjects who had been vaccinated with poly-ICLC and in volunteers who had received highly effective, replication-competent yellow fever vaccines. In addition, in the latest Phase 1 study, >90% of ovarian cancer patients immunized with the combination of poly-ICLC and NY-ESO-1 peptide vaccine (except Montanide) showed the induction of CD4+ and CD8+ T cells and the antibody-to-peptide reaction. Ultimately, polyICLC has been fully tested in over 25 clinical trials to date and exhibits a relatively benign toxicity profile. Further advantages are described in this article.

如本文所描述,在動物及人類中均存在顯著證據突變抗原決定基在誘發免疫反應中有效且自發腫瘤消退或長期存活之情況與CD8+ T細胞對突變抗原決定基之反應相關(Buckwalter及Srivastava PK. 「It is the antigen(s), stupid」and other lessons from over a decade of vaccitherapy of human cancer. Seminars in immunology 20:296-300 (2008);Karanikas等,High frequency of cytolytic T lymphocytes directed against a tumor-specific mutated antigen detectable with HLA tetramers in the blood of a lung carcinoma patient with long survival. Cancer Res. 61:3718-3724 (2001);Lennerz等,The response of autologous T cells to a human melanoma is dominated by mutated neoantigens. Proc Natl Acad Sci USA.102:16013 (2005)),且「免疫編輯」可追蹤至小鼠及人類中顯性突變抗原之表現的改變(Matsushita等,Cancer exome analysis reveals a T-cell-dependent mechanism of cancer immunoediting Nature 482:400 (2012);DuPage等,Expression of tumor-specific antigens underlies cancer immunoediting Nature 482:405 (2012);及Sampson等,Immunologic escape after prolonged progression-free survival with epidermal growth factor receptor variant III peptide vaccination in patients with newly diagnosed glioblastoma J Clin Oncol. 28:4722-4729 (2010))。在一些實施例中,確定癌症患者之突變抗原決定基。As described herein, there is significant evidence in animals and humans that mutant epitopes are effective in inducing immune responses and that spontaneous tumor regression or long-term survival is related to CD8+ T cell responses to mutant epitopes (Buckwalter and Srivastava PK . "It is the antigen(s), stupid" and other lessons from over a decade of vaccitherapy of human cancer. Seminars in immunology 20:296-300 (2008); Karanikas, etc., High frequency of cytolytic T lymphocytes directed against a tumor -specific mutated antigen detectable with HLA tetramers in the blood of a lung carcinoma patient with long survival. Cancer Res. 61:3718-3724 (2001); Lennerz et al., The response of autologous T cells to a human melanoma is dominated by mutated neoantigens . Proc Natl Acad Sci USA.102:16013 (2005)), and "immune editing" can track changes in the expression of dominant mutant antigens in mice and humans (Matsushita et al., Cancer exome analysis reveals a T-cell-dependent mechanism of cancer immunoediting Nature 482:400 (2012); DuPage et al., Expression of tumor-specific antigens underlies cancer immunoediting Nature 482:405 (2012); and Sampson et al., Immunologic escape after prolonged progression-free survival with epidermal growth factor receptor variant III peptide vaccination in patients with newly diagnosed glioblastoma J Clin Oncol. 28:4722-4729 (2010)). In some embodiments, mutant epitopes of cancer patients are determined.

在一些實施例中,藉由使用下一代測序技術對來自癌症患者之腫瘤組織及健康組織的基因組及/或外顯子組測序來確定突變抗原決定基。在一些實施例中,使用下一代測序技術對基因測序,該等基因係基於其突變頻率及充當新抗原之能力來選擇。下一代測序可應用於基因組測序、基因組再測序、轉錄組解析(RNA測序)、DNA-蛋白相互作用(ChIP測序)及外基因組表徵(de Magalhaes JP, Finch CE, Janssens G (2010). 「Next-generation sequencing in aging research: emerging applications, problems, pitfalls and possible solutions」. Ageing Research Reviews 9 (3): 315-323;Hall N (May 2007). 「Advanced sequencing technologies and their wider impact in microbiology」. J. Exp. Biol. 209 (Pt 9): 1518-1525;Church GM (January 2006). 「Genomes for all」. Sci. Am. 294 (1): 46-54;ten Bosch JR, Grody WW (2008). 「Keeping Up with the Next Generation」. The Journal of Molecular Diagnostics 10 (6): 484-492;Tucker T, Marra M, Friedman JM (2009). 「Massively Parallel Sequencing: The Next Big Thing in Genetic Medicine」. The American Journal of Human Genetics 85 (2): 142-154)。下一代測序現可快速揭示個體腫瘤中離散突變(諸如編碼突變)之存在,最常見的單胺基酸變化(例如錯義突變)及藉由讀框偏移插入/缺失/基因融合、終止密碼子中之通讀突變及不當拼接內含子(例如neoORF)之轉譯所產生的不常見之新胺基酸拉伸。NeoORF由於其整個序列對於免疫系統而言為全新的且因而類似於病毒或細菌性外來抗原而尤其有價值作為免疫原。因此,neoORF:(1)對腫瘤具高度特異性(亦即在任何正常細胞中不存在表現);及(2)能夠繞過中心耐受性,藉此提高新抗原特異性CTL之前驅體頻率。舉例而言,近來用來源於人類乳頭狀瘤病毒(HPV)之肽證實在治療性抗癌疫苗或免疫原性組合物中利用類似外來序列之可能性。19個接受3至4次來源於病毒致癌基因E6及E7之HPV肽的混合之疫苗接種之患有預贅生性、病毒誘發之疾病的患者中大致50%維持完全反應> 24個月(Kenter等,Vaccination against HPV-16 Oncoproteins for Vulvar Intraepithelial Neoplasia NEJM 361:1838 (2009))。In some embodiments, the mutant epitope is determined by sequencing the genome and/or exome of tumor tissue and healthy tissue from cancer patients using next-generation sequencing technology. In some embodiments, next-generation sequencing technology is used to sequence genes, which are selected based on their mutation frequency and ability to act as a new antigen. Next-generation sequencing can be applied to genome sequencing, genome re-sequencing, transcriptome analysis (RNA sequencing), DNA-protein interaction (ChIP sequencing), and epigenome characterization (de Magalhaes JP, Finch CE, Janssens G (2010). -generation sequencing in aging research: emerging applications, problems, pitfalls and possible solutions". Ageing Research Reviews 9 (3): 315-323; Hall N (May 2007). "Advanced sequencing technologies and their wider impact in microbiology". J . Exp. Biol. 209 (Pt 9): 1518-1525; Church GM (January 2006). "Genomes for all". Sci. Am. 294 (1): 46-54; ten Bosch JR, Grody WW (2008) . "Keeping Up with the Next Generation". The Journal of Molecular Diagnostics 10 (6): 484-492; Tucker T, Marra M, Friedman JM (2009). "Massively Parallel Sequencing: The Next Big Thing in Genetic Medicine". The American Journal of Human Genetics 85 (2): 142-154). Next-generation sequencing can now quickly reveal the presence of discrete mutations (such as coding mutations) in individual tumors, the most common monoamino acid changes (such as missense mutations), and insertion/deletion/gene fusion, stop codes by frame shift Unusual stretches of neo-amino acids resulting from translational mutations in the son and translation of improperly spliced introns (eg, neoORF). NeoORF is particularly valuable as an immunogen because its entire sequence is completely new to the immune system and thus resembles viral or bacterial foreign antigens. Therefore, neoORF: (1) is highly specific for tumors (that is, there is no expression in any normal cells); and (2) can bypass central tolerance, thereby increasing the frequency of neoantigen-specific CTL precursors . For example, recently the use of peptides derived from human papilloma virus (HPV) has demonstrated the possibility of using similar foreign sequences in therapeutic anti-cancer vaccines or immunogenic compositions. Approximately 50% of 19 patients with pre-neoplastic, virus-induced diseases who received 3 to 4 mixed vaccines of HPV peptides derived from viral oncogenes E6 and E7 maintained a complete response> 24 months (Kenter et al. , Vaccination against HPV-16 Oncoproteins for Vulvar Intraepithelial Neoplasia NEJM 361:1838 (2009)).

測序技術已揭示腫瘤含有改變基因之蛋白編碼含量的多重、患者特異性突變。此等突變產生經改變之蛋白,範圍為單胺基酸變化(由錯義突變所致)至由讀框偏移、封端密碼子之通讀或內含子域之轉譯所致的新胺基酸序列之長域的添加(新開放閱讀框突變;neoORF)。此等突變蛋白為宿主對腫瘤之免疫反應的有價值靶向物,此係因為不同於原生蛋白,其未經受自身耐受性之免疫抑制作用。因此,突變蛋白更可能為免疫原性且與患者之正常細胞相比亦對腫瘤細胞更具特異性。Sequencing technology has revealed that tumors contain multiple, patient-specific mutations that alter the protein coding content of genes. These mutations produce altered proteins ranging from monoamino acid changes (due to missense mutations) to new amino groups caused by reading frame shifts, through reading of blocked codons or translation of intron domains Addition of the long domain of the acid sequence (new open reading frame mutation; neoORF). These mutant proteins are valuable targets for the host's immune response to the tumor. This is because unlike the native protein, it has not been immune-suppressed by its own tolerance. Therefore, the mutant protein is more likely to be immunogenic and more specific to tumor cells than normal cells of the patient.

識別腫瘤特異性新抗原之替代方法為經由直接蛋白測序。使用包括串聯質譜(MS/MS)之多維MS技術(MSn)之酶促分解的蛋白測序亦可用於識別新抗原。此等蛋白質組途徑准許迅速、高度自動化分析(參見例如K. Gevaert及J. Vandekerckhove, Electrophoresis 21:1145-1154 (2000))。進一步涵蓋用於未知蛋白之從頭測序的高通量方法可用以分析患者之腫瘤的蛋白質組以便識別經表現之新抗原。舉例而言,間鳥槍蛋白測序可用以識別經表現之新抗原(參見例如Guthals等(2012) Shotgun Protein Sequencing with Meta-contig Assembly, Molecular and Cellular Proteomics 11(10):1084-96)。An alternative method for identifying tumor-specific neoantigens is through direct protein sequencing. Enzymatically decomposed protein sequencing using multidimensional MS technology (MSn) including tandem mass spectrometry (MS/MS) can also be used to identify new antigens. These proteomic approaches permit rapid and highly automated analysis (see, for example, K. Gevaert and J. Vandekerckhove, Electrophoresis 21:1145-1154 (2000)). Further encompassing high-throughput methods for de novo sequencing of unknown proteins can be used to analyze the proteome of a patient's tumor in order to identify expressed new antigens. For example, inter shotgun protein sequencing can be used to identify expressed new antigens (see, for example, Guthals et al. (2012) Shotgun Protein Sequencing with Meta-contig Assembly, Molecular and Cellular Proteomics 11(10):1084-96).

亦可使用MHC多聚體識別新抗原特異性T細胞反應來識別腫瘤特異性新抗原。舉例而言,患者樣品中新抗原特異性T細胞反應之高通量分析可使用基於MHC四聚體之篩查技術(參見例如Hombrink等(2011) High-Throughput Identification of mutant epitopes to an effective vaccine or immunogenic composition)來進行。經由利用不含污染性細菌之試劑或動物物質可易於以化學方式合成肽且易於純化肽。小尺寸引起蛋白之突變域上的明確病灶且亦減少來自其他組分(未突變蛋白或病毒載體抗原)之無關抗原競爭。MHC multimers can also be used to recognize neoantigen-specific T cell responses to recognize neoplasm-specific neoantigens. For example, high-throughput analysis of neoantigen-specific T cell responses in patient samples can use MHC tetramer-based screening techniques (see, for example, Hombrink et al. (2011) High-Throughput Identification of mutant epitopes to an effective vaccine or immunogenic composition). By using reagents or animal substances that do not contain contaminating bacteria, peptides can be easily chemically synthesized and peptides can be easily purified. The small size causes a clear focus on the mutant domain of the protein and also reduces unrelated antigen competition from other components (unmutated protein or viral vector antigen).

在一些實施例中,藥物調配物為長肽之多抗原決定基疫苗或免疫原性組合物。此等「長」肽經歷有效內化,在專業抗原呈現細胞(諸如樹突狀細胞)中處理及交叉呈現,且已展示在人類中誘發CTL(Melief及van der Burg, Immunotherapy of established (pre) malignant disease by synthetic long peptide vaccines Nature Rev Cancer 8:351 (2008))。在一些實施例中,製備至少1種新抗原肽用於免疫接種。在一些實施例中,製備至少2種新抗原肽用於免疫接種。在一些實施例中,製備至少3種新抗原肽用於免疫接種。在一些實施例中,製備至少4種新抗原肽用於免疫接種。在一些實施例中,製備至少5種新抗原肽用於免疫接種。在一些實施例中,製備20種或更多種肽用於免疫接種。在一些實施例中,製備至多40種新抗原肽用於免疫接種。在一些實施例中,新抗原肽在長度為約5至約50個胺基酸、長度為約5至約45個胺基酸、長度為約5至約40個胺基酸、長度為約5至約35個胺基酸、長度為約5至約30個胺基酸、長度為約5至約25個胺基酸、長度為約5至約20個胺基酸、長度為約10至約50個胺基酸、長度為約10至約45個胺基酸、長度為約10至約40個胺基酸、長度為約10至約35個胺基酸、長度為約10至約30個胺基酸、長度為約10至約25個胺基酸、長度為約10至約20個胺基酸、長度為約15至約50個胺基酸、長度為約15至約45個胺基酸、長度為約15至約40個胺基酸、長度為約15至約35個胺基酸、長度為約15至約30個胺基酸、長度為約15至約25個胺基酸、長度為約15至約20個胺基酸、長度為約14至約50個胺基酸、長度為約14至約45個胺基酸、長度為約14至約40個胺基酸、長度為約14至約35個胺基酸、長度為約14至約30個胺基酸、長度為約14至約25個胺基酸或長度為約14至約20個胺基酸範圍內。在一些實施例中,合成長度為約14至約35個胺基酸之肽。在一些實施例中,合成長度為約14至約27個胺基酸之肽。在一些實施例中,新抗原肽之長度在約20至約35個胺基酸範圍內。腫瘤特異性新抗原之產生 In some embodiments, the drug formulation is a long peptide multiple epitope vaccine or immunogenic composition. These "long" peptides undergo effective internalization, are processed and cross-presented in professional antigen presenting cells (such as dendritic cells), and have been shown to induce CTL in humans (Melief and van der Burg, Immunotherapy of established (pre) malignant disease by synthetic long peptide vaccines Nature Rev Cancer 8:351 (2008)). In some embodiments, at least one neoantigenic peptide is prepared for immunization. In some embodiments, at least 2 new antigen peptides are prepared for immunization. In some embodiments, at least 3 new antigen peptides are prepared for immunization. In some embodiments, at least 4 new antigen peptides are prepared for immunization. In some embodiments, at least 5 new antigen peptides are prepared for immunization. In some embodiments, 20 or more peptides are prepared for immunization. In some embodiments, up to 40 new antigen peptides are prepared for immunization. In some embodiments, the neoantigen peptide has a length of about 5 to about 50 amino acids, a length of about 5 to about 45 amino acids, a length of about 5 to about 40 amino acids, and a length of about 5 Up to about 35 amino acids, about 5 to about 30 amino acids in length, about 5 to about 25 amino acids in length, about 5 to about 20 amino acids in length, about 10 to about 50 amino acids, about 10 to about 45 amino acids in length, about 10 to about 40 amino acids in length, about 10 to about 35 amino acids in length, about 10 to about 30 in length Amino acids, about 10 to about 25 amino acids in length, about 10 to about 20 amino acids in length, about 15 to about 50 amino acids in length, and about 15 to about 45 amino groups in length Acid, about 15 to about 40 amino acids in length, about 15 to about 35 amino acids in length, about 15 to about 30 amino acids in length, about 15 to about 25 amino acids in length, About 15 to about 20 amino acids in length, about 14 to about 50 amino acids in length, about 14 to about 45 amino acids in length, about 14 to about 40 amino acids in length, and From about 14 to about 35 amino acids, from about 14 to about 30 amino acids in length, from about 14 to about 25 amino acids in length, or from about 14 to about 20 amino acids in length. In some embodiments, peptides with a length of about 14 to about 35 amino acids are synthesized. In some embodiments, peptides with a length of about 14 to about 27 amino acids are synthesized. In some embodiments, the length of the neoantigenic peptide is in the range of about 20 to about 35 amino acids. The generation of tumor-specific neoantigens

本發明至少部分地基於用腫瘤特異性新抗原之組合呈現患者之免疫系統的能力。熟習此項技術者根據本發明及此項技術中之知識,應瞭解存在多種用於產生此等腫瘤特異性新抗原之方法。一般而言,此等腫瘤特異性新抗原可在活體外或活體內產生。腫瘤特異性新抗原可在活體外作為肽或多肽產生,其隨後可調配成個人化贅瘤疫苗或免疫原性組合物且向受試者投與。此等活體外產生可藉由熟習此項技術者已知之多種方法進行,諸如(例如)胜肽合成或來自多種細菌、真核或病毒性重組表現系統中任一種中之DNA或RNA分子的肽/多肽之表現,然後純化經表現之肽或多肽。或者,可藉由將編碼腫瘤特異性新抗原之分子(例如DNA、RNA、病毒表現系統及其類似物)引入受試者,隨即表現經編碼之腫瘤特異性新抗原來活體內產生腫瘤特異性新抗原。製備調配物之方法 The invention is based at least in part on the ability to present a patient's immune system with a combination of tumor-specific neoantigens. Those skilled in the art, based on the present invention and the knowledge in this technology, should understand that there are various methods for generating these tumor-specific new antigens. In general, these tumor-specific neoantigens can be produced in vitro or in vivo. Tumor-specific neoantigens can be produced in vitro as peptides or polypeptides, which can then be formulated into personalized neoplastic vaccines or immunogenic compositions and administered to subjects. These in vitro productions can be performed by various methods known to those skilled in the art, such as, for example, peptide synthesis or peptides from DNA or RNA molecules in any of a variety of bacterial, eukaryotic or viral recombinant expression systems /Peptide performance, then purify the expressed peptide or polypeptide. Alternatively, tumor-specific neoantigens can be generated in vivo by introducing molecules encoding tumor-specific neoantigens (eg, DNA, RNA, viral expression systems, and the like) into subjects, and then expressing the encoded tumor-specific neoantigens in vivo New antigen. Method for preparing formulations

本發明係關於具有提高的新抗原肽溶解度之醫藥組合物。肽之溶解度描述肽之在特定溶液中及在特定情況下可溶之性質。溶解度亦可指在某一量之特定溶劑中及在特定情況下可溶解之肽的最大量。肽之溶解度可取決於肽之結構、組成及其他特性,包括但不限於肽中殘基之數目、肽之尺寸及分子量、親水性及疏水性殘基之分佈及量、肽上負電荷及正電荷之分佈及量以及肽之等電點(pI)。舉例而言,所有其他特性相等時,與具有較長殘基之肽相比具有更短殘基之肽可具有更高的溶解度。肽之溶解度亦可取決於溶劑之性質,諸如其pH、疏水性、親水性、極性沸點等。所有其他特性相等時,與不具有連續疏水性殘基之肽相比具有連續疏水性殘基之肽可更不可溶於親水性溶劑。一些不可溶於純水之疏水性及親水性肽可能可溶於極性有機溶劑,諸如二甲亞碸(DMSO)、二甲基甲醯胺(DMF)及乙腈;彼等溶劑之相對較高極性及偶極矩可使得其比純水更適合於溶解疏水性及/或帶電肽。在一些個例中,溶劑可為多種不同溶劑(在混合物內之各個別溶劑,「共溶劑」)之混合物。各共溶劑可可溶於溶劑混合物,且在共溶劑不可溶之情形下,則在溶劑中可存在諸如乳化劑、界面活性劑、黏度調節劑之穩定劑以提高其均質性。溶劑之選擇可由肽之應用限制。舉例而言,水溶液與水溶性有機溶劑之混合物(例如水/DMSO)可用於可注射調配物。在可注射調配物中使用有機溶劑之限制亦可包括注射後可能的沈澱、疼痛、炎症及溶血。在一些個例中,溶劑之選擇可進一步由在該溶劑中肽之穩定性限制;溶劑不應與該肽反應或促進該肽之降解。另外,肽在特定溶劑中之溶解度可取決於溫度、壓力、溶解該肽時所採取之方法及步驟等。溶解肽之典型步驟中可採取溫和的音波處理及加熱,且肽之溶解度可視順序、添加速率及如何將共溶劑與肽合併而變化。The present invention relates to pharmaceutical compositions with improved solubility of neoantigen peptides. The solubility of a peptide describes the nature of the peptide in a specific solution and under specific conditions. Solubility can also refer to the maximum amount of peptide that can be dissolved in a certain amount of a particular solvent and under certain circumstances. The solubility of a peptide may depend on the structure, composition and other characteristics of the peptide, including but not limited to the number of residues in the peptide, the size and molecular weight of the peptide, the distribution and amount of hydrophilic and hydrophobic residues, the negative charge on the peptide and the positive The distribution and amount of charge and the isoelectric point (pI) of the peptide. For example, when all other properties are equal, peptides with shorter residues may have higher solubility than peptides with longer residues. The solubility of the peptide can also depend on the nature of the solvent, such as its pH, hydrophobicity, hydrophilicity, polar boiling point, etc. When all other properties are equal, peptides with continuous hydrophobic residues are more insoluble in hydrophilic solvents than peptides without continuous hydrophobic residues. Some hydrophobic and hydrophilic peptides that are insoluble in pure water may be soluble in polar organic solvents, such as dimethyl sulfoxide (DMSO), dimethyl formamide (DMF) and acetonitrile; the relatively high polarity of their solvents And the dipole moment can make it more suitable for dissolving hydrophobic and/or charged peptides than pure water. In some cases, the solvent may be a mixture of different solvents (individual solvents in the mixture, "co-solvents"). Each co-solvent is soluble in the solvent mixture, and if the co-solvent is insoluble, stabilizers such as emulsifiers, surfactants, and viscosity modifiers may be present in the solvent to improve its homogeneity. The choice of solvent can be limited by the application of the peptide. For example, a mixture of an aqueous solution and a water-soluble organic solvent (eg, water/DMSO) can be used for injectable formulations. Restrictions on the use of organic solvents in injectable formulations may also include possible precipitation, pain, inflammation, and hemolysis after injection. In some cases, the choice of solvent can be further limited by the stability of the peptide in the solvent; the solvent should not react with the peptide or promote the degradation of the peptide. In addition, the solubility of a peptide in a particular solvent may depend on temperature, pressure, the method and steps taken to dissolve the peptide, and so on. In the typical steps of dissolving peptides, mild sonic treatment and heating can be adopted, and the solubility of peptides can vary depending on the order, addition rate, and how to combine the co-solvent with the peptide.

肽之溶解度可藉由實驗測定。在一些實施例中,目視檢查含有肽之溶液(無沈澱之澄清溶液)表示在一組指定條件(例如固定溫度及壓力)下,肽可溶於彼特定溶劑或溶劑混合物。在一些實施例中,含有肽之溶液之濁度可用於確定肽是否可在一組指定條件下溶於特定溶劑或溶劑混合物。在一些實施例中,濁度可流體、液體或溶液之澄清度之量度來界定,且係以通過該流體、液體或溶液時所散射的光或輻射(例如可見光、紅外線輻射)之量來表示。在一些實施例中,含有肽之溶液的濁度可藉由目視檢查定性確定。在一些實施例中,濁度可使用適合於量測濁度之任何儀器或技術量測。此等儀器及技術包括但不限於濁度計或濁度感測器。在一些實施例中,由含有肽之溶液的濁度與其組成大致相同但不包含肽之參考溶液之濁度比較。在一些實施例中,當含有肽之溶液與參考溶液之濁度值約相等時,該肽視為在特定一組條件下可溶於該溶液。在一些實施例中,當確定肽溶液之濁度值超過參考溶液之濁度值時且當已確定濁度值之差值為統計學上顯著時,該肽視為部分可溶或不可溶於該溶液。The solubility of the peptide can be determined experimentally. In some embodiments, visual inspection of a solution containing a peptide (a clear solution without precipitation) means that the peptide can be dissolved in that particular solvent or solvent mixture under a specified set of conditions (eg, fixed temperature and pressure). In some embodiments, the turbidity of the peptide-containing solution can be used to determine whether the peptide is soluble in a particular solvent or solvent mixture under a specified set of conditions. In some embodiments, turbidity may be defined as a measure of the clarity of a fluid, liquid, or solution, and is represented by the amount of light or radiation (eg, visible light, infrared radiation) scattered when passing through the fluid, liquid, or solution . In some embodiments, the turbidity of the peptide-containing solution can be qualitatively determined by visual inspection. In some embodiments, turbidity can be measured using any instrument or technique suitable for measuring turbidity. Such instruments and technologies include but are not limited to turbidity meters or turbidity sensors. In some embodiments, the turbidity of a solution containing peptides is approximately the same as its reference composition but does not contain peptides. In some embodiments, when the turbidity values of the peptide-containing solution and the reference solution are approximately equal, the peptide is considered to be soluble in the solution under a specific set of conditions. In some embodiments, when it is determined that the turbidity value of the peptide solution exceeds the turbidity value of the reference solution and when the difference of the determined turbidity values is statistically significant, the peptide is considered partially soluble or insoluble The solution.

肽在水溶液中之溶解度亦可基於其胺基酸序列預測而無需實驗。在一些實施例中,肽在水溶液中之溶解度可基於肽之pI及疏水性預測。在一些實施例中,肽之溶解度可藉由使用通常可獲得之軟體程式預測。具有某些pI及疏水性特性之肽比具有其他pI及疏水性特性之肽更可能可溶於水溶液。肽之等電點(pI)為該肽之淨電荷為零時之pH。肽擁有可為正性、負性或中性之胺基酸殘基,且各個別胺基酸或末端上之電荷的總和為該肽之淨電荷。在某一pH下肽之淨電荷(Z)可藉由以下公式估計:

Figure 02_image001
其中Ni 為N末端及精胺酸(R)、離胺酸(K)及組胺酸(H)之側鏈的數量及pKai 為N末端及精胺酸(R)、離胺酸(K)及組胺酸(H)之側鏈的pKa值,且Nj 為C末端及天冬胺酸(D)、麩胺酸(E)、半胱胺酸(C)及酪胺酸(Y)胺基酸之側鏈的數量及pKaj 為C末端及天冬胺酸(D)、麩胺酸(E)、半胱胺酸(C)及酪胺酸(Y)胺基酸之側鏈的pKa值。上文所列之帶電酸的側鏈及肽之胺基及羧基末端之pKa值為吾人所知(表1)。在上式中,對於既定肽(具有如上文所描述之pKai 及pKaj 值)Z = 0時之pH值為彼既定肽之pI。 1 :胺基酸側鏈pKa值(表根據Lehninger Principles of Biochemistry, 2008, Macmillan重建)
Figure 108113861-A0304-0001
The solubility of a peptide in an aqueous solution can also be predicted based on its amino acid sequence without experimentation. In some embodiments, the solubility of a peptide in an aqueous solution can be predicted based on the pi and hydrophobicity of the peptide. In some embodiments, the solubility of the peptide can be predicted by using commonly available software programs. Peptides with certain pI and hydrophobic properties are more likely to be soluble in aqueous solutions than peptides with other pI and hydrophobic properties. The isoelectric point (pI) of a peptide is the pH at which the net charge of the peptide is zero. Peptides possess amino acid residues that can be positive, negative, or neutral, and the sum of the charges on each alloamino acid or terminal is the net charge of the peptide. The net charge (Z) of a peptide at a certain pH can be estimated by the following formula:
Figure 02_image001
Where N i is the N-terminus and the number of side chains of arginine (R), lysine (K) and histidine (H) and pKa i is the N-terminus and arginine (R), lysine ( K) and the pKa value of the side chain of histidine (H), and N j is the C terminal and aspartic acid (D), glutamic acid (E), cysteine (C) and tyrosine ( Y) The number of amino acid side chains and pKa j are C-terminal and aspartic acid (D), glutamic acid (E), cysteine (C) and tyrosine (Y) amino acids The pKa value of the side chain. The side chains of the charged acids listed above and the pKa values of the amine and carboxyl ends of the peptides are known to us (Table 1). In the above formula, the pH value for a given peptide (with pKa i and pKa j values as described above) Z=0 is the pI of the given peptide. Table 1 : pKa values of amino acid side chains (table reconstructed according to Lehninger Principles of Biochemistry, 2008, Macmillan)
Figure 108113861-A0304-0001

肽之pI可藉由使用計算器估計,其易於線上獲得((例如由pepcalc.com所提供的)。在低於其pI之pH下,肽攜帶淨正電荷,且在高於其pI之pH下,肽攜帶淨負電荷。因此,肽之pI可影響其溶解度。在一些實施例中,可藉由調節溶液之pH使得其對應於肽之pI而最小化肽在水溶液中之溶解度。The pI of a peptide can be estimated by using a calculator, which is easy to obtain online (eg, provided by pepcalc.com). At a pH below its pI, the peptide carries a net positive charge, and at a pH above its pI The peptide carries a net negative charge. Therefore, the pI of the peptide can affect its solubility. In some embodiments, the solubility of the peptide in aqueous solution can be minimized by adjusting the pH of the solution so that it corresponds to the pI of the peptide.

肽之疏水性可藉由一般熟習此項技術者已知之多種方法測定。在一些實施例中,肽之疏水性可使用沿著肽之胺基酸序列漸進地評估肽之親水性及疏水性的凱特-杜利特(Kyte-Doolittle)方法((例如參見Jack Kyte及Russell F. Doolittle, J. Mol. Biol. (1982) 157, 105-132)來計算。該方法利用移動片段法以在具有預定長度之片段內在其通過序列前進時連續測定平均親水性。自胺基至羧基末端繪製連續分數。中點線對應於肽之親水性的總平均值且在一些實施例中稱為凱特-杜利特疏水性值。凱特-杜利特方法中所使用之個別胺基酸的已知疏水性分數提供於表2中。The hydrophobicity of the peptide can be determined by various methods known to those skilled in the art. In some embodiments, the hydrophobicity of the peptide may use the Kyte-Doolittle method (e.g., see Jack Kyte and Russell) for progressively evaluating the hydrophilicity and hydrophobicity of the peptide along the amino acid sequence of the peptide F. Doolittle, J. Mol. Biol. (1982) 157, 105-132). This method uses the moving fragment method to continuously measure the average hydrophilicity as it progresses through the sequence within fragments with a predetermined length. Continuous scores are drawn to the carboxyl terminus. The midpoint line corresponds to the total average value of the hydrophilicity of the peptide and in some embodiments is called the Kate-Dullit hydrophobicity value. Individual amine groups used in the Kate-Dullit method The known hydrophobicity fraction of the acid is provided in Table 2.

2 :凱特-杜利特方法中所使用之胺基酸疏水性分數

Figure 108113861-A0304-0002
Table 2 : Amino Acid Hydrophobicity Fractions Used in Kate-Dulit Method
Figure 108113861-A0304-0002

在一些實施例中,肽之疏水性可藉由計算肽之各疏水性域之疏水度指數且隨後識別具有最高疏水度的域來測定。首先,識別肽中不同的包含一或多種序列的疏水性胺基酸之域。其後各疏水性域之總疏水性分數或親水性分數藉由將域中各胺基酸之疏水性值/親水性值加在一起來計算。此計算可使用各胺基酸側鏈之疏水性或親水性之公開值進行。舉例而言,20個標準胺基酸中之每一個的親水性提供於表3中。正值對應於親水性胺基酸及負值對應於疏水性胺基酸。In some embodiments, the hydrophobicity of the peptide can be determined by calculating the hydrophobicity index of each hydrophobic domain of the peptide and then identifying the domain with the highest hydrophobicity. First, identify the different hydrophobic amino acid domains in the peptide that contain one or more sequences. Thereafter, the total hydrophobicity score or hydrophilicity score of each hydrophobic domain is calculated by adding together the hydrophobicity value/hydrophilicity value of each amino acid in the domain. This calculation can be performed using published values of the hydrophobicity or hydrophilicity of each amino acid side chain. For example, the hydrophilicity of each of the 20 standard amino acids is provided in Table 3. Positive values correspond to hydrophilic amino acids and negative values correspond to hydrophobic amino acids.

3 :親水性值

Figure 108113861-A0304-0003
Table 3 : Hydrophilicity values
Figure 108113861-A0304-0003

疏水性胺基酸之域可定義為域中之所有胺基酸均具有小於0之親水性值的域。既定疏水性序列中個別胺基酸親水性值之總和為疏水性指數。具有最大負疏水性指數之連續序列為疏水性最大的。在一些實施例中,疏水性指數稱為HYDRO。在一些實施例中,肽之疏水性指數可藉由識別包含一或多個連續胺基酸之域(其中每個胺基酸均具有小於0之親水性值)測定,且其中該包含一或多個胺基酸之域具有比包含一個或多個胺基酸之肽的任何其他域更小(例如更負)之總親水性值。舉例而言,具有胺基酸序列LEYVAFSQRFIPEL (SEQ ID NO: 1)之肽的疏水性指數為-6.8,及具有胺基酸序列LARDIPPAVTGKWKLSDLRRYGAVPSG (SEQ ID NO: 2)之肽的疏水性指數為-3.4。The domain of a hydrophobic amino acid can be defined as a domain in which all amino acids in the domain have a hydrophilicity value of less than zero. The sum of the hydrophilicity values of individual amino acids in a given hydrophobic sequence is the hydrophobicity index. The consecutive sequence with the largest negative hydrophobicity index is the most hydrophobic. In some embodiments, the hydrophobicity index is called HYDRO. In some embodiments, the hydrophobicity index of a peptide can be determined by identifying a domain that includes one or more consecutive amino acids (where each amino acid has a hydrophilicity value of less than 0), and where the The domain of multiple amino acids has a smaller (eg, more negative) total hydrophilicity value than any other domain of a peptide that contains one or more amino acids. For example, a peptide with the amino acid sequence LEYVAFSQRFIPEL (SEQ ID NO: 1) has a hydrophobicity index of -6.8, and a peptide with the amino acid sequence LARDIPPAVTGKWKLSDLRRYGAVPSG (SEQ ID NO: 2) has a hydrophobicity index of -3.4 .

可採取多種途徑以提高肽之溶解度。在一些實施例中,肽之溶解度可藉由選擇適合之溶劑(包括溶劑混合物)來提高。適合之溶劑可基於肽之物理性質(包括其等電點(pI)及疏水性、極性)及/或藉由實驗識別。適合之溶劑可為純溶劑或溶劑混合物,且對於後者而言,亦可調整共溶劑之組成以增大肽之溶解度。在一些實施例中,共溶劑可混溶且形成均相溶劑混合物。在一些實施例中,一或多種共溶劑可能不可與溶劑混合物以及均質化及穩定溶劑混合物以延長儲存期可能要求之界面活性劑、乳化劑、增稠劑或其他穩定劑混溶。在一些實施例中,肽之溶解度可藉由改變溶劑之pH來提高;舉例而言,經由添加酸或鹼調整溶劑之pH遠離肽之pI。在一些實施例中,肽之溶解度可藉由音波處理、加熱及/或採用適合之溶解程序來增大。在一些實施例中,肽在DMSO/水混合物中之溶解度可藉由首先將肽溶解於DMSO中且隨後添加水來提高。在另外的實施例中,肽之溶解度可經由添加諸如環狀寡醣類環糊精之複合劑或添加諸如正丁醇、乙醇、鹽酸胍、過氯酸鋰、乙酸鋰、氯化鎂、苯酚、2-丙醇、十二烷基硫酸鈉、硫脲及脲之離液劑來增大。在一些個例中,肽之溶解度可取決於溶劑之離子強度。在一些實施例中,溶解度可藉由增大溶劑中之鹽濃度來增大(鹽溶)。在一些實施例中,溶解度可隨著溶劑中之鹽濃度減小而增大(鹽析)。Various approaches can be taken to increase the solubility of the peptide. In some embodiments, the solubility of the peptide can be increased by selecting suitable solvents (including solvent mixtures). Suitable solvents can be based on the physical properties of the peptide (including its isoelectric point (pI) and hydrophobicity, polarity) and/or identified by experiment. Suitable solvents can be pure solvents or solvent mixtures, and for the latter, the composition of the co-solvent can also be adjusted to increase the solubility of the peptide. In some embodiments, the co-solvent is miscible and forms a homogeneous solvent mixture. In some embodiments, one or more co-solvents may not be miscible with the solvent mixture and surfactants, emulsifiers, thickeners, or other stabilizers that may be required to extend the shelf life. In some embodiments, the solubility of the peptide can be increased by changing the pH of the solvent; for example, the pH of the solvent is adjusted away from the pI of the peptide by adding acid or base. In some embodiments, the solubility of the peptide can be increased by sonication, heating, and/or using a suitable dissolution procedure. In some embodiments, the solubility of the peptide in the DMSO/water mixture can be increased by first dissolving the peptide in DMSO and then adding water. In another embodiment, the solubility of the peptide may be via the addition of a complex agent such as cyclic oligosaccharide cyclodextrin or addition of such as n-butanol, ethanol, guanidine hydrochloride, lithium perchlorate, lithium acetate, magnesium chloride, phenol, 2 -The chaotropic agent of propanol, sodium lauryl sulfate, thiourea and urea increases. In some cases, the solubility of the peptide may depend on the ionic strength of the solvent. In some embodiments, the solubility can be increased by increasing the salt concentration in the solvent (salt solution). In some embodiments, the solubility may increase as the salt concentration in the solvent decreases (salting out).

在例如僅含有一種肽及一種溶劑之組合物的簡單組合物中,可容易測定肽溶解度與組合物之變化之間的關係。然而,在諸如醫藥或疫苗組合物之複雜組合物中,可能難以測定組合物之變化對肽溶解度之影響。醫藥組合物之變化可同時經由一種機制增大肽溶解度及經由另一機制減小肽溶解度;舉例而言,增大組合物中之鹽含量可藉由增大離子強度而減小肽溶解度(鹽析),但同時可由於pH之變化而增大肽溶解度。In a simple composition such as a composition containing only one peptide and one solvent, the relationship between the solubility of the peptide and the change in the composition can be easily determined. However, in complex compositions such as pharmaceutical or vaccine compositions, it may be difficult to determine the effect of composition changes on peptide solubility. Changes in the pharmaceutical composition can simultaneously increase peptide solubility through one mechanism and reduce peptide solubility through another mechanism; for example, increasing the salt content in the composition can reduce peptide solubility by increasing ionic strength (salt Analysis), but at the same time can increase the solubility of the peptide due to changes in pH.

本發明之一個態樣係關於一種用於增大肽溶解度之方法。在一些實施例中,本發明係關於一種用於增大新抗原肽之溶解度之方法。出乎意料地發現減小本文所提供之組合物中pH調節劑之濃度可增大至少一種新抗原肽的溶解度。在一些實施例中,增大肽溶解度之方法包含調整或減小pH調節劑之濃度至小於1.0 mM。在一些實施例中,增大肽溶解度之方法包含向包含至少一種新抗原肽及醫藥學上可接受之載劑的組合物添加pH調節劑以使得該pH調節劑之濃度低於1.0、0.95、0.90、0.85、0.80、0.75、0.70、0.65、0.60、0.55、0.50、0.45、0.40、0.35、0.30、0.25、0.20、0.15、0.10 mM或更小。One aspect of the invention relates to a method for increasing the solubility of a peptide. In some embodiments, the invention relates to a method for increasing the solubility of neoantigen peptides. It was unexpectedly found that reducing the concentration of the pH adjusting agent in the compositions provided herein can increase the solubility of at least one neoantigenic peptide. In some embodiments, the method of increasing the solubility of the peptide includes adjusting or reducing the concentration of the pH adjusting agent to less than 1.0 mM. In some embodiments, the method of increasing the solubility of the peptide comprises adding a pH adjusting agent to the composition comprising at least one neoantigenic peptide and a pharmaceutically acceptable carrier so that the concentration of the pH adjusting agent is lower than 1.0, 0.95, 0.90, 0.85, 0.80, 0.75, 0.70, 0.65, 0.60, 0.55, 0.50, 0.45, 0.40, 0.35, 0.30, 0.25, 0.20, 0.15, 0.10 mM or less.

在一些實施例中,在限定溫度下在本文所提供之組合物中至少一種新抗原肽的溶解度與在其中pH調節劑之濃度為1.0 mM或更大的組合物中該至少一種新抗原肽之溶解度相比增大至少0.5、1、2、3、4、5、6、7、8、9、10、15、20、25、30、35、40、45、50、60、70、80、90、100、150、200、250、300、350、400、450、500、600、700、800、900或1000%。在一些實施例中,在限定溫度下至少一種新抗原肽在本文所提供之組合物中的溶解度與該至少一種新抗原肽在其中pH調節劑之濃度為1.0 mM或更大的組合物中之溶解度相比增大約10%至約300%、約20%至約300%、約50%至約300%、約100%至約300%、約150%至約300%、約200%至約300%、約250%至約300%、約10%至約250%、約20%至約250%、約50%至約250%、約100%至約250%、約150%至約250%、約200%至約250%、約10%至約200%、約20%至約200%、約50%至約200%、約100%至約200%、約150%至約200%、10%至約150%、20%至約150%、50%至約150%、100%至約150%、10%至約100%、20%至約100%、50%至約100%、10%至約50%、20%至約50%、10%至約20%、至少約1%、至少約2%、至少約3%、至少約4%、至少約5%、至少約6%、至少約7%、至少約8%、至少約9%、至少約10%、至少約15%、至少約20%、至少約25%、至少約30%、至少約35%、至少約40%、至少約45%、至少約50%、至少約60%、至少約70%、至少約80%、至少約90%、至少約100%、至少約150%、至少約200%、至少約250%或至少約300%。在一些實施例中,在限定溫度下至少一種新抗原肽在本文所提供之組合物中的溶解度與該至少一種新抗原肽在其中pH調節劑之濃度為1.0 mM或更大的組合物中之溶解度相比增大約1.1至約10倍、約1.5至約10倍、約2至約10倍、約3至約10倍、約4至約10倍、約1.1至約5倍、約1.1至約6倍、約1.1至約7倍、約1.1至約8倍、約1.1至約9倍、約2至約5倍、約2至約6倍、約2至約7倍、約2至約8倍、約2至約9倍、約3至約6倍、約3至約7倍、約3至約8倍、約3至約9倍、約4至約7倍、約4至約8倍、約4至約9倍、至少約1.1倍、至少約1.5倍、至少約2倍、至少約2.5倍、至少約3倍、至少約3.5倍、至少約4倍、至少約5倍或至少約10倍。在一些實施例中,限定溫度為環境溫度。在一些實施例中,限定溫度為在約0℃、約1℃、約2℃、約3℃、約4℃、約5℃、約6℃、約7℃、約8℃、約9℃、約10℃、約15℃、約20℃、約25℃、約30℃、約35℃、約40℃、約50℃、約55℃、約60℃、約65℃或約70℃下。In some embodiments, the solubility of at least one neoantigenic peptide in the composition provided herein at a defined temperature and the composition of the at least one neoantigenic peptide in a composition in which the concentration of the pH adjusting agent is 1.0 mM or greater Increase in solubility by at least 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, 100, 150, 200, 250, 300, 350, 400, 450, 500, 600, 700, 800, 900 or 1000%. In some embodiments, the solubility of at least one neoantigenic peptide in the compositions provided herein and the at least one neoantigenic peptide in a composition in which the concentration of the pH adjusting agent is 1.0 mM or greater at a defined temperature The solubility increases by approximately 10% to approximately 300%, approximately 20% to approximately 300%, approximately 50% to approximately 300%, approximately 100% to approximately 300%, approximately 150% to approximately 300%, approximately 200% to approximately 300 %, about 250% to about 300%, about 10% to about 250%, about 20% to about 250%, about 50% to about 250%, about 100% to about 250%, about 150% to about 250%, About 200% to about 250%, about 10% to about 200%, about 20% to about 200%, about 50% to about 200%, about 100% to about 200%, about 150% to about 200%, 10% To about 150%, 20% to about 150%, 50% to about 150%, 100% to about 150%, 10% to about 100%, 20% to about 100%, 50% to about 100%, 10% to About 50%, 20% to about 50%, 10% to about 20%, at least about 1%, at least about 2%, at least about 3%, at least about 4%, at least about 5%, at least about 6%, at least about 7%, at least about 8%, at least about 9%, at least about 10%, at least about 15%, at least about 20%, at least about 25%, at least about 30%, at least about 35%, at least about 40%, at least about 45%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 100%, at least about 150%, at least about 200%, at least about 250%, or at least about 300%. In some embodiments, the solubility of at least one neoantigenic peptide in the compositions provided herein and the at least one neoantigenic peptide in a composition in which the concentration of the pH adjusting agent is 1.0 mM or greater at a defined temperature The solubility is increased by about 1.1 to about 10 times, about 1.5 to about 10 times, about 2 to about 10 times, about 3 to about 10 times, about 4 to about 10 times, about 1.1 to about 5 times, about 1.1 to about 6 times, about 1.1 to about 7 times, about 1.1 to about 8 times, about 1.1 to about 9 times, about 2 to about 5 times, about 2 to about 6 times, about 2 to about 7 times, about 2 to about 8 Times, about 2 to about 9 times, about 3 to about 6 times, about 3 to about 7 times, about 3 to about 8 times, about 3 to about 9 times, about 4 to about 7 times, about 4 to about 8 times , About 4 to about 9 times, at least about 1.1 times, at least about 1.5 times, at least about 2 times, at least about 2.5 times, at least about 3 times, at least about 3.5 times, at least about 4 times, at least about 5 times, or at least about 10 times. In some embodiments, the defined temperature is ambient temperature. In some embodiments, the defined temperature is about 0°C, about 1°C, about 2°C, about 3°C, about 4°C, about 5°C, about 6°C, about 7°C, about 8°C, about 9°C, At about 10°C, about 15°C, about 20°C, about 25°C, about 30°C, about 35°C, about 40°C, about 50°C, about 55°C, about 60°C, about 65°C, or about 70°C.

在一些實施例中,在既定溫度下本文所提供之醫藥組合物中之至少一種新抗原肽為不可溶、部分可溶或可溶於該組合物。In some embodiments, at least one neoantigen peptide in the pharmaceutical composition provided herein is insoluble, partially soluble, or soluble in the composition at a given temperature.

在一些實施例中,在環境溫度下本文所提供之組合物中的至少一種新抗原肽可溶於該組合物。在一些實施例中,在約0℃、約1℃、約2℃、約3℃、約4℃、約5℃、約6℃、約7℃、約8℃、約9℃、約10℃、約15℃、約20℃、約25℃、約30℃、約35℃、約40℃、約50℃、約55℃、約60℃、約65℃、約70℃、約75℃、約80℃、約85℃、約90℃、約95℃或約100℃下本文所提供之組合物中至少一種新抗原肽可溶於該組合物。在一些實施例中,在約35℃、約35.5℃、約36℃、約36.5℃、約36.7℃、約36.8℃、約36.9℃、約37℃、約37.1℃、約37.2℃、約37.3℃、約37.4℃、約37.5℃、約37.6℃、約37.7℃、約37.8℃、約37.9℃、約38℃、約38.5℃、約39℃、約39.5℃或約40℃下本文所提供之組合物中至少一種新抗原肽可溶於該組合物。醫藥組合物 In some embodiments, at least one neoantigen peptide in the composition provided herein is soluble in the composition at ambient temperature. In some embodiments, at about 0°C, about 1°C, about 2°C, about 3°C, about 4°C, about 5°C, about 6°C, about 7°C, about 8°C, about 9°C, about 10°C , About 15 ℃, about 20 ℃, about 25 ℃, about 30 ℃, about 35 ℃, about 40 ℃, about 50 ℃, about 55 ℃, about 60 ℃, about 65 ℃, about 70 ℃, about 75 ℃, about At 80°C, about 85°C, about 90°C, about 95°C, or about 100°C, at least one neoantigen peptide in the composition provided herein is soluble in the composition. In some embodiments, at about 35 °C, about 35.5 °C, about 36 °C, about 36.5 °C, about 36.7 °C, about 36.8 °C, about 36.9 °C, about 37 °C, about 37.1 °C, about 37.2 °C, about 37.3 °C , About 37.4 ℃, about 37.5 ℃, about 37.6 ℃, about 37.7 ℃, about 37.8 ℃, about 37.9 ℃, about 38 ℃, about 38.5 ℃, about 39 ℃, about 39.5 ℃ or about 40 ℃ combinations provided herein At least one of the new antigen peptides is soluble in the composition. Pharmaceutical composition

本文提供包含至少一種新抗原肽之醫藥組合物。本發明亦係關於包含至少一種新抗原肽之疫苗組合物及肽溶液。在一些實施例中,本發明之醫藥組合物可包含至少1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40種或更多種新抗原肽。Provided herein is a pharmaceutical composition comprising at least one neoantigenic peptide. The present invention also relates to vaccine compositions and peptide solutions containing at least one neoantigen peptide. In some embodiments, the pharmaceutical composition of the present invention may comprise at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 , 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40 or more new Antigen peptides.

除非另外排除,否則如本文所用之「肽」或「新抗原肽」包括其醫藥學上可接受之鹽及該肽之凍乾形式。新抗原肽可藉由本領域中已知或本文所描述之任何適合的方法識別及合成。在一些實施例中,至少一種新抗原肽含有約5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、35、40、45、50、55、60、65、70、75、80、85、90或95個胺基酸殘基。在一些實施例中,至少一種新抗原肽長度在約5至約50、約5至約45、約5至約40、約5至約35、約5至約30、約5至約25、約10至約50、約10至約45、約10至約40、約10至約35、約10至約30、約10至約25、約15至約50、約15至約45、約15至約40、約15至約35、約15至約30、約15至約25、約20至約50、約20至約45、約20至約40、約20至約35、約20至約30或約20至約25個胺基酸範圍內。在一些實施例中,至少一種新抗原肽長度在約6至約25、約15至約35、約15至約24、約9至約15、約8至約11或約9至約10個胺基酸範圍內。在一些實施例中,至少一種新抗原肽之長度等於或低於30、25、20或15個胺基酸殘基。在一些實施例中,各新抗原肽之長度與組成醫藥組合物之其他新抗原肽(若存在)之長度無關。Unless otherwise excluded, "peptide" or "neoantigen peptide" as used herein includes its pharmaceutically acceptable salts and lyophilized forms of the peptide. Neoantigen peptides can be identified and synthesized by any suitable method known in the art or described herein. In some embodiments, the at least one neoantigenic peptide contains about 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 , 24, 25, 26, 27, 28, 29, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90 or 95 amino acid residues. In some embodiments, the at least one neoantigen peptide is from about 5 to about 50, from about 5 to about 45, from about 5 to about 40, from about 5 to about 35, from about 5 to about 30, from about 5 to about 25, about 10 to about 50, about 10 to about 45, about 10 to about 40, about 10 to about 35, about 10 to about 30, about 10 to about 25, about 15 to about 50, about 15 to about 45, about 15 to About 40, about 15 to about 35, about 15 to about 30, about 15 to about 25, about 20 to about 50, about 20 to about 45, about 20 to about 40, about 20 to about 35, about 20 to about 30 Or in the range of about 20 to about 25 amino acids. In some embodiments, the at least one neoantigen peptide is about 6 to about 25, about 15 to about 35, about 15 to about 24, about 9 to about 15, about 8 to about 11, or about 9 to about 10 amines in length Within the base acid range. In some embodiments, the length of at least one neoantigenic peptide is equal to or less than 30, 25, 20, or 15 amino acid residues. In some embodiments, the length of each neoantigen peptide is independent of the length of other neoantigen peptides (if present) that make up the pharmaceutical composition.

本發明組合物中各肽之理想濃度可藉由熟習此項技術者基於醫藥組合物之特定應用確定。舉例而言,各肽之濃度及量可因受試者之病況、投與方法及/或肽之溶解度而改變。在一些實施例中,一至五種新抗原肽或其醫藥學上可接受之鹽中之每一種以約50、100、150、200、250、300、350、400、450、500 μg/mL、1000 μg/mL、2000 μg/mL、3000 μg/mL、4000 μg/mL或以上之濃度存在。在一些實施例中,醫藥組合物中新抗原肽之總濃度為約250、300、350、400、450、500、550、600、650、700、750、800、850、900,950、1000、1050、1100、1150、1200、1250、1300、1350、1400、1450、1500、1550、1600、1650、1700、1750、1800、1850、1900、1950、2000、2050、2100、2150、2200、2250、2300、2350、2400、2450、2500 μg/mL或以上。在一些實施例中,一或多種新抗原肽或其醫藥學上可接受之鹽中的每一種以10 μg/mL至4000 μg/mL、10 μg/mL至3000 μg/mL、10 μg/mL至2000 μg/mL、10 μg/mL至1000 μg/mL、10 μg/mL至500 μg/mL、10 μg/mL至300 μg/mL、25 μg/mL至500 μg/mL或50 μg/mL至300 μg/mL之濃度存在於醫藥組合物中。The ideal concentration of each peptide in the composition of the present invention can be determined by those skilled in the art based on the specific application of the pharmaceutical composition. For example, the concentration and amount of each peptide can vary depending on the condition of the subject, the method of administration, and/or the solubility of the peptide. In some embodiments, each of one to five neoantigen peptides or pharmaceutically acceptable salts thereof is at about 50, 100, 150, 200, 250, 300, 350, 400, 450, 500 μg/mL, Concentrations of 1000 μg/mL, 2000 μg/mL, 3000 μg/mL, 4000 μg/mL or above exist. In some embodiments, the total concentration of neoantigen peptides in the pharmaceutical composition is about 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950, 1000, 1050, 1100, 1150, 1200, 1250, 1300, 1350, 1400, 1450, 1500, 1550, 1600, 1650, 1700, 1750, 1800, 1850, 1900, 1950, 2000, 2050, 2100, 2150, 2200, 2250, 2300, 2350, 2400, 2450, 2500 μg/mL or above. In some embodiments, each of the one or more neoantigen peptides or pharmaceutically acceptable salts thereof ranges from 10 μg/mL to 4000 μg/mL, 10 μg/mL to 3000 μg/mL, 10 μg/mL To 2000 μg/mL, 10 μg/mL to 1000 μg/mL, 10 μg/mL to 500 μg/mL, 10 μg/mL to 300 μg/mL, 25 μg/mL to 500 μg/mL or 50 μg/mL A concentration of up to 300 μg/mL is present in the pharmaceutical composition.

至少一種新抗原肽可為可溶或可為不可溶於醫藥組合物。在一些實施例中,各新抗原肽之溶解度與其他新抗原肽之溶解度無關。在一些實施例中,各新抗原肽之溶解度與其他新抗原肽之溶解度相關。在一些實施例中,新抗原肽中之每一種可為可溶於醫藥組合物。在一些態樣中,本發明係關於提高至少一種肽的溶解度;因此,在一些實施例中,與包含以1.0 mM或更高之濃度存在的相同pH調節劑及相同醫藥學上可接受之載劑的醫藥組合物中至少一種新抗原肽之百分比相比更高百分比之至少一種新抗原肽可溶於醫藥組合物。在一些實施例中,可溶於醫藥組合物之至少一種新抗原肽的百分比為約5%至約100%、約10%至約100%、約15%至約100%、約20%至約100%、約25%至約100%、約30%至約100%、約35%至約100%、約40%至約100%、約45%至約100%、約50%至約100%、約55%至約100%、約60%至約100%、約65%至約100%、約70%至約100%、約75%至約100%、約80%至約100%、約85%至約100%、約90%至約100%、約95%至約100%、至少約5%、至少約10%、至少約15%、至少約20%、至少約25%、至少約30%、至少約35%、至少約40%、至少約45%、至少約50%、至少約55%、至少約60%、至少約65%、至少約70%、至少約75%、至少約80%、至少約85%、至少約90%、至少約95%或至少約100%。在一些實施例中,所有新抗原肽均不可溶。在一些實施例中,新抗原肽中之至少一種可部分可溶於醫藥組合物。在一些實施例中,新抗原肽中之至少一種可為不可溶於醫藥組合物。在一些實施例中,新抗原肽中之至少一種可保持不可溶於醫藥組合物以便獲得受控釋放或其他應用需要。在一些實施例中,新抗原肽中之至少一種可在乳液或懸浮液中經穩定化。The at least one neoantigen peptide may be soluble or may be insoluble in the pharmaceutical composition. In some embodiments, the solubility of each neoantigen peptide is independent of the solubility of other neoantigen peptides. In some embodiments, the solubility of each neoantigen peptide is related to the solubility of other neoantigen peptides. In some embodiments, each of the neoantigenic peptides can be soluble in pharmaceutical compositions. In some aspects, the present invention relates to increasing the solubility of at least one peptide; therefore, in some embodiments, it contains the same pH adjusting agent and the same pharmaceutically acceptable load present at a concentration of 1.0 mM or higher. The percentage of at least one neoantigen peptide in the pharmaceutical composition of the drug is soluble in the pharmaceutical composition compared to a higher percentage of at least one neoantigen peptide. In some embodiments, the percentage of at least one neoantigen peptide soluble in the pharmaceutical composition is about 5% to about 100%, about 10% to about 100%, about 15% to about 100%, about 20% to about 100%, about 25% to about 100%, about 30% to about 100%, about 35% to about 100%, about 40% to about 100%, about 45% to about 100%, about 50% to about 100% , About 55% to about 100%, about 60% to about 100%, about 65% to about 100%, about 70% to about 100%, about 75% to about 100%, about 80% to about 100%, about 85% to about 100%, about 90% to about 100%, about 95% to about 100%, at least about 5%, at least about 10%, at least about 15%, at least about 20%, at least about 25%, at least about 30%, at least about 35%, at least about 40%, at least about 45%, at least about 50%, at least about 55%, at least about 60%, at least about 65%, at least about 70%, at least about 75%, at least about 80%, at least about 85%, at least about 90%, at least about 95%, or at least about 100%. In some embodiments, all neoantigen peptides are insoluble. In some embodiments, at least one of the neoantigenic peptides is partially soluble in the pharmaceutical composition. In some embodiments, at least one of the neoantigenic peptides may be insoluble in the pharmaceutical composition. In some embodiments, at least one of the neoantigenic peptides can remain insoluble in the pharmaceutical composition in order to obtain controlled release or other application needs. In some embodiments, at least one of the neoantigen peptides can be stabilized in an emulsion or suspension.

本文提供一種包含至少一種可溶性肽之醫藥組合物及一種選擇可溶性肽之方法。肽之溶解度可基於其HYDRO及pI值預測。在一些實施例中,至少一種新抗原肽由pI > 0及HYDRO < -8,pI > 0及HYDRO > -4或pI > 4.3及-4 ≤ HYDRO ≥ -8限定。在一些實施例中,一或多種新抗原肽中之至少一種由pI < 4.3及-4 ≤ HYDRO ≥ -8限定。在一些實施例中,至少一種新抗原肽由pI > 0及HYDRO > -4或pI > 4.3及HYDRO ≤ -4限定。在一些實施例中,至少一種新抗原肽由pI > 0及HYDRO > -4或pI > 4.3及-4 ≤ HYDRO ≥ -9限定。在一些實施例中,至少一種新抗原肽由5 ≤ pI ≥ 12及-4 ≤ HYDRO ≥ -9限定。在一些實施例中,至少一種新抗原肽由pI > 5及HYDRO > -6限定。在一些實施例中,至少一種新抗原肽由pI > 8及HYDRO > -8限定。在一些實施例中,至少一種新抗原肽由pI < 5及HYDRO > -5限定。在一些實施例中,至少一種新抗原肽由pI > 9及HYDRO < -8限定。在一些實施例中,至少一種新抗原肽由pI > 7及HYDRO值> -5.5限定。選擇用於醫藥組合物之可溶性肽的方法可包含測定肽之pI及HYDRO值並比較其pI及HYDRO值與本文所提供之pI及HYDRO範圍。Provided herein is a pharmaceutical composition comprising at least one soluble peptide and a method of selecting a soluble peptide. The solubility of peptides can be predicted based on their HYDRO and pI values. In some embodiments, at least one neoantigen peptide is defined by pI> 0 and HYDRO <-8, pI> 0 and HYDRO> -4 or pI> 4.3 and -4 and ≤ HYDRO ≥ -8. In some embodiments, at least one of the one or more neoantigenic peptides is defined by pI <4.3 and -4 ≤ HYDRO ≥ -8. In some embodiments, at least one neoantigen peptide is defined by pI> 0 and HYDRO> -4 or pI> 4.3 and HYDRO ≤ -4. In some embodiments, at least one neoantigen peptide is defined by pI> 0 and HYDRO> -4 or pI> 4.3 and -4 ≤ HYDRO ≥ -9. In some embodiments, at least one neoantigenic peptide is defined by 5 ≤ pI ≥ 12 and -4 ≤ HYDRO ≥ -9. In some embodiments, at least one neoantigenic peptide is defined by pI> 5 and HYDRO> -6. In some embodiments, at least one neoantigen peptide is defined by pI>8 and HYDRO>-8. In some embodiments, at least one neoantigenic peptide is defined by pI <5 and HYDRO> -5. In some embodiments, at least one neoantigen peptide is defined by pI> 9 and HYDRO <-8. In some embodiments, at least one neoantigenic peptide is defined by pI> 7 and HYDRO value> -5.5. Methods for selecting soluble peptides for use in pharmaceutical compositions can include determining the pI and HYDRO values of the peptide and comparing their pI and HYDRO values to the pI and HYDRO ranges provided herein.

醫藥學上可接受之鹽可指保留母化合物之所需生物活性且展現對正常細胞的有限毒理作用之活性化合物之適當鹽或複合物。此等鹽之實例的非詳盡清單包括(a)與無機酸(例如氫氯酸、氫溴酸、硫酸、磷酸、硝酸及類似酸)所形成的酸加成鹽,以及與有機酸(諸如乙酸、乙二酸、酒石酸、丁二酸、蘋果酸、抗壞血酸、苯甲酸、鞣酸、雙羥萘酸、褐藻酸及聚麩胺酸等)所形成的鹽;及(b)與金屬陽離子(諸如鋅、鈣、鈉、鉀及類似金屬陽離子,以及其他諸多種)所形成的鹼加成鹽。新抗原肽中之每一種可獨立地經改質以影響其功效、溶解度、穩定性、生物可用性、代謝速率及/或其他性質。改質可在側鏈或末端處藉由化學方法或藉由結合肽與一或多種載劑(例如蛋白)來進行。各類型之新抗原肽可含有一或多個對掌性中心且因此以立體異構體、外消旋體及外消旋混合物、單一對映異構體、單獨非對映異構體及非對映異構體混合物及/或順式-反式異構體形式出現。本文明確包括此等化合物之所有此等異構體形式。本發明之化合物亦可以多重互變異構、非晶形及/或晶體形式存在,且化合物之所有互變異構、非晶形及晶體形式均明確包括於本發明中。Pharmaceutically acceptable salts may refer to appropriate salts or complexes of active compounds that retain the desired biological activity of the parent compound and exhibit limited toxicological effects on normal cells. A non-exhaustive list of examples of such salts includes (a) acid addition salts with inorganic acids (such as hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, and similar acids), and with organic acids (such as acetic acid , Oxalic acid, tartaric acid, succinic acid, malic acid, ascorbic acid, benzoic acid, tannic acid, pamoic acid, alginic acid and polyglutamic acid, etc.); and (b) with metal cations (such as Alkali addition salts formed by zinc, calcium, sodium, potassium and similar metal cations, and many others). Each of the new antigen peptides can be independently modified to affect its efficacy, solubility, stability, bioavailability, metabolic rate, and/or other properties. Modification can be carried out chemically at the side chain or at the end or by binding the peptide to one or more carriers (eg proteins). Various types of neoantigen peptides may contain one or more epicenters and are therefore stereoisomers, racemates and racemic mixtures, single enantiomers, individual diastereomers and non-isomeric isomers Enantiomeric mixtures and/or cis-trans isomers appear. This document specifically includes all such isomeric forms of these compounds. The compounds of the present invention may also exist in multiple tautomeric, amorphous and/or crystalline forms, and all tautomeric, amorphous and crystalline forms of the compounds are expressly included in the present invention.

pH調節劑係指當添加至醫藥組合物時能夠改變該組合物之pH的化合物或兩種或多於兩種化合物之組合。 pH調節劑可包含酸、有機酸、無機酸、潛在性酸、弱酸、鹼、共軛鹼、有機鹼、無機鹼、潛在性鹼、酸或鹼之醫藥學上可接受之鹽及/或其組合。潛在性酸或鹼為在特定條件下(諸如在加熱之後或在水存在下)可變成酸或鹼之化合物。pH調節劑可呈固體及/或液體形式且可為可溶、部分可溶或不可溶於醫藥組合物。在一些實施例中,pH調節劑包含有機酸及/或其醫藥學上可接受之鹽。適合之有機酸可含有一或多種酸性基團,諸如羧酸、磺酸、磷酸、亞磷酸及次磷酸酸基。可包含於pH調節劑中之適合之酸的非詳盡實例包括一元、二元、三元或多元羧酸,一元、二元、三元或多元磺酸,山梨酸,己二酸,丙二酸,丁二酸,戊二酸,順丁烯二酸,反丁烯二酸,葡糖酸,乳酸,乙醇酸,抗壞血酸,蘋果酸,酒石酸,羥丙二酸,黏液酸,檸檬酸,胺基酸,麩胺酸,天冬胺酸,含有芳族基團之酸(諸如苯甲酸、鄰苯二甲酸、間苯二甲酸、水楊酸、對苯二甲酸及偏苯三甲酸),以及聚合酸(諸如聚(丙烯酸)及聚(甲基丙烯酸))。在一些實施例中,pH調節劑包含鹼及/或其醫藥學上可接受之鹽,諸如含有胺基、羥基、脒基或磷氮烯基團之化合物。在一些實施例中,pH調節劑包含二羧酸鹽或三羧酸鹽。在一些實施例中,pH調節劑為丁二酸、丁二酸單鈉、丁二酸二鈉或其組合。在一些實施例中,丁二酸二鈉為丁二酸二鈉六水合物。在一些實施例中,pH調節劑為檸檬酸、檸檬酸二鈉、檸檬酸三鈉或其組合。組成pH調節劑之鹽的陽離子可針對各鹽獨立地選擇,且陽離子可為有機的或無機的。陽離子之非詳盡實例包括鈉、鋁、鈣、鋰、鎂、鋅、鉀、精胺酸、苄星青黴素(benzathine)、氯普魯卡因(chloroprocaine)、膽鹼、二乙醇胺、乙醇胺、乙二胺、組胺酸、離胺酸、普魯卡因(procaine)及三甲胺。A pH adjusting agent refers to a compound or a combination of two or more compounds that can change the pH of the composition when added to the pharmaceutical composition. The pH adjusting agent may include pharmaceutically acceptable salts of acids, organic acids, inorganic acids, latent acids, weak acids, bases, conjugate bases, organic bases, inorganic bases, latent bases, acids or bases and/or combination. Potential acids or bases are compounds that can become acids or bases under certain conditions, such as after heating or in the presence of water. The pH adjusting agent may be in solid and/or liquid form and may be soluble, partially soluble or insoluble in the pharmaceutical composition. In some embodiments, the pH adjusting agent comprises an organic acid and/or a pharmaceutically acceptable salt thereof. Suitable organic acids may contain one or more acidic groups, such as carboxylic acid, sulfonic acid, phosphoric acid, phosphorous acid, and hypophosphorous acid groups. Non-exhaustive examples of suitable acids that can be included in the pH adjusting agent include mono-, di-, tri-, or poly-carboxylic acids, mono-, di-, tri-, or poly-sulfonic acids, sorbic acid, adipic acid, malonic acid , Succinic acid, glutaric acid, maleic acid, fumaric acid, gluconic acid, lactic acid, glycolic acid, ascorbic acid, malic acid, tartaric acid, hydroxymalonic acid, mucinic acid, citric acid, amino Acids, glutamic acid, aspartic acid, acids containing aromatic groups (such as benzoic acid, phthalic acid, isophthalic acid, salicylic acid, terephthalic acid and trimellitic acid), and polymerization Acids (such as poly(acrylic acid) and poly(methacrylic acid)). In some embodiments, the pH adjusting agent includes a base and/or a pharmaceutically acceptable salt thereof, such as a compound containing an amine group, a hydroxyl group, an amidino group, or a phosphazene group. In some embodiments, the pH adjuster comprises a dicarboxylate or tricarboxylate. In some embodiments, the pH adjusting agent is succinic acid, monosodium succinate, disodium succinate, or a combination thereof. In some embodiments, the disodium succinate is disodium succinate hexahydrate. In some embodiments, the pH adjusting agent is citric acid, disodium citrate, trisodium citrate, or a combination thereof. The cation constituting the salt of the pH adjuster may be independently selected for each salt, and the cation may be organic or inorganic. Non-exhaustive examples of cations include sodium, aluminum, calcium, lithium, magnesium, zinc, potassium, arginine, benzathine, chloroprocaine, choline, diethanolamine, ethanolamine, ethylenedioxide Amine, histidine, lysine, procaine and trimethylamine.

pH調節劑之濃度可為小於1.0 mM。已出乎意料地發現pH調節劑濃度低於1.0 mM提供與pH調節劑濃度等於或高於1.0 mM相比提高的新抗原肽在本文所提供之醫藥組合物中的溶解度。在一些實施例中,pH調節劑以低於或約0.01、0.02、0.03、0.04、0.05、0.06、0.07、0.08、0.09、0.10、0.11、0.12、0.13、0.14、0.15、0.16、0.17、0.18、0.19、0.20、0.21、0.22、0.23、0.24、0.25、0.26、0.27、0.28、0.29、0.30、0.31、0.32、0.33、0.34、0.35、0.36、0.37、0.38、0.39、0.40、0.41、0.42、0.43、0.44、0.45、0.46、0.47、0.48、0.49、0.50、0.51、0.52、0.53、0.54、0.55、0.56、0.57、0.58、0.59、0.60、0.61、0.62、0.63、0.64、0.65、0.66、0.67、0.68、0.69、0.70、0.71、0.72、0.73、0.74、0.75、0.76、0.77、0.78、0.79、0.80、0.81、0.82、0.83、0.84、0.85、0.86、0.87、0.88、0.89、0.90、0.91、0.92、0.93、0.94、0.95、0.96、0.97、0.98或0.99 mM之濃度存在於醫藥組合物中。在一些實施例中,pH調節劑以低於1.0 mM且高於約0.10、0.15、0.20、0.25、0.30、0.35、0.40、0.45、0.50、0.55、0.60、0.65、0.70、0.75、0.80、0.85、0.90或0.95 mM之濃度存在於醫藥組合物中在一些實施例中,pH調節劑以低於約0.75 mM且高於約0.10、0.15、0.20、0.25、0.30、0.35、0.40、0.45、0.50、0.55、0.60、0.65或0.70 mM之濃度存在於醫藥組合物中。在一些實施例中,pH調節劑以低於約0.50 mM且高於約0.10、0.15、0.20、0.25、0.30、0.35、0.40或0.45 mM之濃度存在於醫藥組合物中。應理解,取決於pH調節劑之性質(例如pKa值),對於一種pH調節劑而言適當之濃度可能不適合於不同的pH調節劑。當熟習此項技術者代替本發明組合物中之pH調節劑時,所要求的pH調節劑之最佳濃度可能因此變化。The concentration of the pH adjusting agent may be less than 1.0 mM. It has been unexpectedly found that a pH adjusting agent concentration below 1.0 mM provides increased solubility of the new antigen peptide in the pharmaceutical compositions provided herein compared to a pH adjusting agent concentration equal to or above 1.0 mM. In some embodiments, the pH adjuster is below or about 0.01, 0.02, 0.03, 0.04, 0.05, 0.06, 0.07, 0.08, 0.09, 0.10, 0.11, 0.12, 0.13, 0.14, 0.15, 0.16, 0.17, 0.18, 0.19, 0.20, 0.21, 0.22, 0.23, 0.24, 0.25, 0.26, 0.27, 0.28, 0.29, 0.30, 0.31, 0.32, 0.33, 0.34, 0.35, 0.36, 0.37, 0.38, 0.39, 0.40, 0.41, 0.42, 0.43, 0.44, 0.45, 0.46, 0.47, 0.48, 0.49, 0.50, 0.51, 0.52, 0.53, 0.54, 0.55, 0.56, 0.57, 0.58, 0.59, 0.60, 0.61, 0.62, 0.63, 0.64, 0.65, 0.66, 0.67, 0.68, 0.69, 0.70, 0.71, 0.72, 0.73, 0.74, 0.75, 0.76, 0.77, 0.78, 0.79, 0.80, 0.81, 0.82, 0.83, 0.84, 0.85, 0.86, 0.87, 0.88, 0.89, 0.90, 0.91, 0.92, 0.93, The concentration of 0.94, 0.95, 0.96, 0.97, 0.98 or 0.99 mM is present in the pharmaceutical composition. In some embodiments, the pH adjusting agent is below 1.0 mM and above about 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, 0.45, 0.50, 0.55, 0.60, 0.65, 0.70, 0.75, 0.80, 0.85, A concentration of 0.90 or 0.95 mM is present in the pharmaceutical composition. In some embodiments, the pH adjuster is below about 0.75 mM and above about 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, 0.45, 0.50, 0.55 , 0.60, 0.65 or 0.70 mM concentrations are present in the pharmaceutical composition. In some embodiments, the pH adjusting agent is present in the pharmaceutical composition at a concentration below about 0.50 mM and above about 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, or 0.45 mM. It should be understood that depending on the nature of the pH adjusting agent (eg, pKa value), the appropriate concentration for one pH adjusting agent may not be suitable for different pH adjusting agents. When a person skilled in the art replaces the pH adjusting agent in the composition of the present invention, the required optimal concentration of the pH adjusting agent may vary accordingly.

如本文所提供之可接受之載劑為生理學上可接受的以向患者投與,且應保留活性成分、與其一起/在其中投與之化合物或藥物之治療性質。可接受之載劑及其調配物一般描述於例如Remington' Pharmaceutical Sciences (第18版,編者:A. Gennaro, Mack Publishing Co., Easton, PA 1990)中。醫藥學上可接受之載劑為醫藥學上可接受之材料、組合物或媒劑,諸如液體或固體填充劑、稀釋劑、賦形劑、溶劑或包封材料,參與攜帶或傳遞活性成分自一個器官或身體部分之投與位點至另一器官或身體部分或在活體外測定系統中。可接受之載劑與醫藥組合物之其他成分相容且大體上不改變新抗原肽之特異活性。在所採用的劑量及濃度下,可接受之載劑應對投與其之受試者無毒且無害。取決於應用及投與途徑,可接受之載劑可呈氣體、液體或固體形式。可接受之載劑可指溶劑,共溶劑,緩衝液,等張劑,結合劑或複合劑,離子及/或非離子界面活性劑,黏度改質劑,含有乳液、懸浮液、脂質體、聚合物膠束、微粒、多孔奈米結構、樹狀體、基於脂質之奈米粒子、凝膠、環糊精、載體蛋白等或其組合之系統。結合劑或複合劑可為以化學方式或以物理方式與組合物之組分相互作用以使得該組分之穩定性、溶解度或其他性質改變的化合物;舉例而言,相互作用且增大至少一種新抗原肽之溶解度的化合物。結合劑或錯合劑包括但不限於螯合劑,如EDTA;蛋白,諸如匙孔螺血氰蛋白、牛血清蛋白、卵白蛋白、明膠及免疫球蛋白;環狀寡醣,如環糊精;及金屬複合物,如Zn-蛋白複合物。含有乳液、懸浮液、脂質體、聚合物膠束、微粒、多孔奈米結構、樹狀體、基於脂質之奈米粒子、凝膠、環糊精、載體蛋白等或其組合之系統係指包含上述組分或結構中的任一種之組合物。An acceptable carrier as provided herein is physiologically acceptable for administration to a patient, and should retain the therapeutic properties of the active ingredient, the compound or drug administered with/in it. Acceptable carriers and their formulations are generally described in, for example, Remington' Pharmaceutical Sciences (18th Edition, Editor: A. Gennaro, Mack Publishing Co., Easton, PA 1990). A pharmaceutically acceptable carrier is a pharmaceutically acceptable material, composition, or vehicle, such as a liquid or solid filler, diluent, excipient, solvent, or encapsulating material, involved in carrying or transferring the active ingredient from The site of administration of one organ or body part to another organ or body part or in an in vitro assay system. The acceptable carrier is compatible with the other ingredients of the pharmaceutical composition and does not substantially change the specific activity of the neoantigen peptide. At the doses and concentrations used, acceptable carriers should be non-toxic and harmless to the subjects to whom they are administered. Depending on the application and the route of administration, acceptable carriers can be in gas, liquid or solid form. Acceptable carriers can refer to solvents, co-solvents, buffers, isotonic agents, binding agents or complexing agents, ionic and/or non-ionic surfactants, viscosity modifiers, including emulsions, suspensions, liposomes, polymerization Systems of micelles, microparticles, porous nanostructures, dendrimers, lipid-based nanoparticles, gels, cyclodextrins, carrier proteins, etc. or combinations thereof. The binding agent or complexing agent may be a compound that chemically or physically interacts with a component of the composition such that the stability, solubility, or other properties of the component change; for example, interacting and increasing at least one The compound of the solubility of the neoantigen peptide. Binders or complexing agents include, but are not limited to chelating agents, such as EDTA; proteins, such as keyhole serocyanin, bovine serum albumin, ovalbumin, gelatin, and immunoglobulins; cyclic oligosaccharides, such as cyclodextrin; and metals Complexes, such as Zn-protein complexes. Systems containing emulsions, suspensions, liposomes, polymer micelles, microparticles, porous nanostructures, dendrimers, lipid-based nanoparticles, gels, cyclodextrins, carrier proteins, etc. or combinations thereof are meant to include A composition of any of the above components or structures.

在一些實施例中,醫藥組合物包含緩衝液。緩衝液係指當添加少量酸性或鹼性材料至其中時其pH可忽略地改變之溶液。例示性緩衝劑包括但不限於磷酸鹽、檸檬酸鹽、檸檬酸、乙酸、硼酸鹽及組胺酸。在一些實施例中,本發明組合物包含界面活性劑。界面活性劑可為非離子型、陰離子型、陽離子型、兩性型、兩性離子型或其組合。例示性界面活性劑包括但不限於脂肪醇之醚及/或聚氧化烯烷基醚、聚氧化烯脂肪酸酯、Tweens®、聚山梨醇酯、Pluronics®及泊洛沙姆(poloxamer)、聚氧化烯。In some embodiments, the pharmaceutical composition includes a buffer. Buffer refers to a solution whose pH changes negligibly when a small amount of acidic or basic material is added thereto. Exemplary buffers include, but are not limited to phosphate, citrate, citric acid, acetic acid, borate, and histidine. In some embodiments, the composition of the present invention includes a surfactant. The surfactant may be nonionic, anionic, cationic, amphoteric, zwitterionic, or a combination thereof. Exemplary surfactants include, but are not limited to, fatty alcohol ethers and/or polyoxyalkylene alkyl ethers, polyoxyalkylene fatty acid esters, Tweens®, polysorbates, Pluronics®, and poloxamer, poly Alkylene oxide.

在一些實施例中,醫藥學上可接受之載劑包含水及/或至少一種非水性液體。可接受之非水液體之實例包括但不限於DMSO、DMF、乙腈、醇(例如乙醇)及其組合。在一些實施例中,醫藥學上可接受之載劑包含糖,其包括但不限於:單醣,諸如右旋糖、葡萄糖、果糖及半乳糖;以及雙醣,諸如蔗糖、乳酮糖、乳糖、麥芽糖、海藻糖、纖維二糖及殼二糖。醫藥學上可接受之載劑亦可包含多醣,諸如澱粉、纖維素及殼質;以及糖醇,諸如甘露糖醇及山梨糖醇。在一些實施例中,醫藥學上可接受之載劑包含水及右旋糖。醫藥組合物中醫藥學上可接受之載劑的量及濃度可取決於此處其他組分之性質;舉例而言,更高濃度之DMSO可適合於包含更多種疏水性新抗原肽之醫藥組合物。在一些實施例中,存在於醫藥組合物中之DMSO的濃度為按體積計(% v/v)約1%、2%、3%、4%、5%、6%、7%、8%、9%、10%或以上。在一些實施例中,存在於醫藥組合物中之糖的濃度為於水中按重量計(% w/w水)約1%、1.5%、2.0%、2.5%、3.0%、3.5%、4.0%、4.5%、5.0%、5.5%、6.0%、6.5%、7.0%、7.5%或以上。在一些實施例中,存在於組合物中之糖的濃度為按溶液之重量計(% w/w)約1%、1.5%、2.0%、2.5%、3.0%、3.5%、4.0%、4.5%、5.0%、5.5%、6.0%、6.5%、7.0%、7.5%或以上。在一些實施例中,存在於組合物中之糖的濃度為按溶液中水之重量計(% w/w水)約1%、1.5%、2.0%、2.5%、3.0%、3.5%、4.0%、4.5%、5.0%、5.5%、6.0%、6.5%、7.0%、7.5%或以上。In some embodiments, the pharmaceutically acceptable carrier comprises water and/or at least one non-aqueous liquid. Examples of acceptable non-aqueous liquids include, but are not limited to DMSO, DMF, acetonitrile, alcohols (such as ethanol), and combinations thereof. In some embodiments, pharmaceutically acceptable carriers include sugars, including but not limited to: monosaccharides such as dextrose, glucose, fructose, and galactose; and disaccharides such as sucrose, lactulose, lactose , Maltose, trehalose, cellobiose and chitosan. Pharmaceutically acceptable carriers can also include polysaccharides such as starch, cellulose and chitin; and sugar alcohols such as mannitol and sorbitol. In some embodiments, the pharmaceutically acceptable carrier includes water and dextrose. The amount and concentration of pharmaceutically acceptable carriers in the pharmaceutical composition may depend on the nature of the other components here; for example, higher concentrations of DMSO may be suitable for pharmaceutical combinations that include more hydrophobic neoantigen peptides Thing. In some embodiments, the concentration of DMSO present in the pharmaceutical composition is about 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8% by volume (% v/v) , 9%, 10% or more. In some embodiments, the concentration of sugar present in the pharmaceutical composition is about 1%, 1.5%, 2.0%, 2.5%, 3.0%, 3.5%, 4.0% by weight (% w/w water) in water , 4.5%, 5.0%, 5.5%, 6.0%, 6.5%, 7.0%, 7.5% or more. In some embodiments, the concentration of sugar present in the composition is about 1%, 1.5%, 2.0%, 2.5%, 3.0%, 3.5%, 4.0%, 4.5 by weight of the solution (% w/w) %, 5.0%, 5.5%, 6.0%, 6.5%, 7.0%, 7.5% or more. In some embodiments, the concentration of sugar present in the composition is about 1%, 1.5%, 2.0%, 2.5%, 3.0%, 3.5%, 4.0 by weight of water in the solution (% w/w water) %, 4.5%, 5.0%, 5.5%, 6.0%, 6.5%, 7.0%, 7.5% or more.

本發明醫藥組合物可進一步包含其他添加劑,諸如稀釋劑、填充劑、黏合劑、崩解劑、潤滑劑、著色劑、防腐劑、穩定劑及有助於延遲釋放之試劑,其存在及量可取決於投與途徑。本文所提供之組合物可經口、局部、非經腸(諸如藉由靜脈內)投與,肌肉內、皮下、動脈內、關節內、鞘內及皮內投與,或藉由其他可應用的投與方式。在一些實施例中,本發明組合物可藉由注射單位劑量投與。The pharmaceutical composition of the present invention may further contain other additives, such as diluents, fillers, binders, disintegrants, lubricants, colorants, preservatives, stabilizers, and agents that contribute to delayed release. Depends on the route of administration. The compositions provided herein can be administered orally, topically, parenterally (such as by intravenous), intramuscularly, subcutaneously, intraarterially, intraarticularly, intrathecally and intradermally, or by other applicable The way of giving. In some embodiments, the compositions of the present invention can be administered by injection of unit doses.

本發明醫藥組合物可為疫苗組合物,其中至少一種新抗原肽可用作疫苗。在一些實施例中,疫苗組合物可包含至少1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40種或更多種新抗原肽。在一些實施例中,組合物包含免疫調節劑或佐劑。在一些實施例中,本發明組合物包含兩種或更多種免疫調節劑或佐劑。免疫調節劑可指誘發、放大、減弱、預防或以其他方式改變免疫系統之免疫反應或功能之試劑。佐劑可指修改另一試劑之免疫功能的試劑。本文所提供之免疫調節劑或佐劑可包含聚ICLC、聚肌苷酸:聚胞苷酸(聚I:C,或聚I:聚C)、1018 ISS、鋁鹽、Amplivax、AS15、BCG、CP-870,893、CpG7909、CyaA、ARNAX、STING促效劑、dSLIM、GM-CSF、IC30、IC31、咪喹莫特、ImuFact IMP321、IS貼片、ISS、ISCOMATRIX、Juvlmmune、LipoVac、MF59、單磷醯基脂質A、Montanide IMS 1312、Montanide ISA 206、Montanide ISA 50V、Montanide ISA-51、OK-432、OM-174、OM-197-MP-EC、ONTAK、PepTel®、載體系統、PLGA微粒、雷西莫特、SRL172、病毒顆粒及其他病毒樣顆粒、YF-17D、VEGF捕捉劑、R848、β-葡聚糖、Pam3CysAquila之QS21刺激子、𠮿酮衍生物(諸如瓦迪美占(Vadimezan)或AsA404)或其組合。佐劑亦可包含丙烯酸(共)聚合物、甲基丙烯酸(共)聚合物及/或順丁烯二酸酐與烯基衍生物之共聚物。舉例而言,此類(共)聚合物可為交聯有糖或多元醇(卡波姆(carbomer))之聚烯基醚的丙烯酸或甲基丙烯酸之聚合物,交聯有烯丙基蔗糖或與烯丙基季戊四醇的丙烯酸或甲基丙烯酸之聚合物,順丁烯二酸酐與交聯有二乙烯醚之乙烯的共聚物。或者,免疫調節劑或佐劑可包含細胞介素(諸如TNF-α、GM-CSF、IL-1、IL-4及IL-12);鐸樣受體(諸如TLR4及TLR9);經化學改質之CpGs (例如CpR、Idera);非CpU細菌性DNA或RNA以及免疫活性小分子及抗體,諸如環磷醯胺(cyclophosphamide)、舒尼替尼(sunitinib)、貝伐單抗(bevacizumab)、西樂葆(celebrex)、NCX-4016、西地那非(sildenafil)、他達拉非(tadalafil)、伐地那非(vardenafil)、索拉菲尼(sorafinib)、XL-999、CP-547632、帕佐泮尼(pazopanib)、ZD2171、AZD2171、伊派利單抗(ipilimumab)、曲美木單抗(tremelimumab)及SC58175。在一些實施例中,免疫調節劑或佐劑包含聚-ICLC (poly-ICLC)。免疫調節劑或佐劑可分別施用於疫苗或醫藥組合物;或者,其可分別施用但與本發明組合物並行。The pharmaceutical composition of the present invention can be a vaccine composition in which at least one neoantigen peptide can be used as a vaccine. In some embodiments, the vaccine composition may comprise at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40 or more neoantigenic peptides. In some embodiments, the composition includes an immunomodulator or adjuvant. In some embodiments, the compositions of the present invention include two or more immunomodulators or adjuvants. An immunomodulator can refer to an agent that induces, amplifies, weakens, prevents, or otherwise changes the immune response or function of the immune system. An adjuvant may refer to an agent that modifies the immune function of another agent. The immunomodulators or adjuvants provided herein may include poly ICLC, polyinosinic acid: polycytidylic acid (poly I: C, or poly I: poly C), 1018 ISS, aluminum salt, Amplivax, AS15, BCG, CP-870, 893, CpG7909, CyaA, ARNAX, STING agonist, dSLIM, GM-CSF, IC30, IC31, imiquimod, ImuFact IMP321, IS patch, ISS, ISCOMATRIX, Juvlmmune, LipoVac, MF59, single Phosphatidyl lipid A, Montanide IMS 1312, Montanide ISA 206, Montanide ISA 50V, Montanide ISA-51, OK-432, OM-174, OM-197-MP-EC, ONTAK, PepTel®, carrier system, PLGA particles, Resimod, SRL172, virus particles and other virus-like particles, YF-17D, VEGF capture agent, R848, β-glucan, Pam3CysAquila's QS21 stimulator, ketone derivatives (such as Vadimezan) Or AsA404) or a combination thereof. The adjuvant may also include acrylic (co)polymers, methacrylic (co)polymers, and/or copolymers of maleic anhydride and alkenyl derivatives. For example, such (co)polymers may be acrylic or methacrylic acid polymers crosslinked with polyalkenyl ethers of sugars or polyols (carbomers), allyl sucrose crosslinked Or a copolymer of acrylic acid or methacrylic acid with allyl pentaerythritol, a copolymer of maleic anhydride and ethylene crosslinked with divinyl ether. Alternatively, the immunomodulator or adjuvant may include cytokines (such as TNF-α, GM-CSF, IL-1, IL-4 and IL-12); Duo-like receptors (such as TLR4 and TLR9); chemically modified Qualitative CpGs (eg CpR, Idera); non-CpU bacterial DNA or RNA and immunologically active small molecules and antibodies, such as cyclophosphamide, sunitinib, bevacizumab, Celebrex, NCX-4016, sildenafil, tadalafil, vardenafil, sorafinib, XL-999, CP-547632, Pazopanib (pazopanib), ZD2171, AZD2171, ipilimumab (ipilimumab), tremelimumab (tremelimumab) and SC58175. In some embodiments, the immunomodulator or adjuvant comprises poly-ICLC (poly-ICLC). The immunomodulator or adjuvant can be administered separately to the vaccine or pharmaceutical composition; alternatively, it can be administered separately but in parallel with the composition of the invention.

在一些實施例中,醫藥組合物包括:(a)一至五種新抗原肽或其醫藥學上可接受之鹽;(b) DMSO;(c)糖,諸如右旋糖;(d)低於1.0 mM丁二酸或丁二酸鹽;(E)聚I:聚C;(f)聚-L-離胺酸;(g)羧甲基纖維素;(h)氯化物;及(i)水。在一些實施例中,一至五種肽或其醫藥學上可接受之鹽中之每一種以約50、100、150、200、250、300、350、400 μg/ml或以上之濃度存在。在一些實施例中,醫藥組合物包含按體積計(% v/v)等於或低於1%、2%、3%、4%、5%、6%、7%、8%、9%或10%之DMSO。在一些實施例中,DMSO以按體積計(% v/v)約1%至3%存在於醫藥組合物中。在一些實施例中,醫藥組合物包含濃度為按溶液之重量計(% w/w)約1.0%、1.1%、1.2%、1.3%、1.4%、1.5%、1.6%、1.7%、1.8%、1.9%、2.0%、2.1%、2.2%、2.3%、2.4%、2.5%、2.6%、2.7%、2.8%、2.9%、3.0%、3.1%、3.2%、3.3%、3.4%、3.5%、3.6%、3.7%、3.8%、3.9%、4.0%、4.1%、4.2%、4.3%、4.4%、4.5%、4.6%、4.7%、4.8%、4.9%、5.0%、5.1%、5.2%、5.3%、5.4%、5.5%、5.6%、5.7%、5.8%、5.9%、6.0%、6.1%、6.2%、6.3%、6.4%、6.5%、6.6%、6.7%、6.8%、6.9%、7.0%、7.1%、7.2%、7.3%、7.4%、7.5%、7.6%、7.7%、7.8%、7.9%、8.0%、8.1%、8.2%、8.3%、8.4%、8.5%、8.6%、8.7%、8.8%、8.9%、9.0%、9.1%、9.2%、9.3%、9.4%、9.5%、9.6%、9.7%、9.8%、9.9%、10%或以上的右旋糖。在一些實施例中,醫藥組合物包含濃度為按溶液中水之重量計(% w/w水)約1.0%、1.1%、1.2%、1.3%、1.4%、1.5%、1.6%、1.7%、1.8%、1.9%、2.0%、2.1%、2.2%、2.3%、2.4%、2.5%、2.6%、2.7%、2.8%、2.9%、3.0%、3.1%、3.2%、3.3%、3.4%、3.5%、3.6%、3.7%、3.8%、3.9%、4.0%、4.1%、4.2%、4.3%、4.4%、4.5%、4.6%、4.7%、4.8%、4.9%、5.0%、5.1%、5.2%、5.3%、5.4%、5.5%、5.6%、5.7%、5.8%、5.9%、6.0%、6.1%、6.2%、6.3%、6.4%、6.5%、6.6%、6.7%、6.8%、6.9%、7.0%、7.1%、7.2%、7.3%、7.4%、7.5%、7.6%、7.7%、7.8%、7.9%、8.0%、8.1%、8.2%、8.3%、8.4%、8.5%、8.6%、8.7%、8.8%、8.9%、9.0%、9.1%、9.2%、9.3%、9.4%、9.5%、9.6%、9.7%、9.8%、9.9%、10%或以上之右旋糖。在一些實施例中,醫藥組合物包含按溶液之重量計(% w/w)約3.6%至3.7%的右旋糖。在一些實施例中,醫藥組合物包含按溶液中水之重量計(% w/w水)約3.6%至3.7%的右旋糖。在一些實施例中,醫藥組合物包含濃度為約0.1、0.2、0.3、0.4、0.5、0.6、0.7、0.8、0.9、1.0 mg/ml或以上之聚I:聚C。在一些實施例中,醫藥組合物包含濃度為約0.100、0.125、0.150、0.175、0.200、0.225、0.250、0.275、0.300、0.325、0.350、0.375、0.400、0.425、0.450、0.475、0.500 mg/ml或以上之聚-L-離胺酸。在一些實施例中,醫藥組合物包含濃度為約0.25、0.50、0.75、1.00、1.25、1.50、1.75、2.00、2.25、2.50 mg/ml或以上之羧甲基纖維素鈉。在一些實施例中,醫藥組合物包含濃度為按溶液中水之重量計(% w/w水) 0.100%、0.125%、0.150%、0.175%、0.200%、0.225%、0.250%、0.275%、0.300%、0.325%、0.350%、0.375%、0.400%、0.425%、0.450%、0.475%、0.500%或以上之氯化鈉。在一些實施例中,醫藥組合物包含濃度為按溶液之重量計(% w/w) 0.100%、0.125%、0.150%、0.175%、0.200%、0.225%、0.250%、0.275%、0.300%、0.325%、0.350%、0.375%、0.400%、0.425%、0.450%、0.475%、0.500%或以上之氯化鈉。In some embodiments, the pharmaceutical composition includes: (a) one to five neoantigenic peptides or pharmaceutically acceptable salts thereof; (b) DMSO; (c) sugars such as dextrose; (d) less than 1.0 mM succinic acid or succinate; (E) poly I: poly C; (f) poly-L-ionic acid; (g) carboxymethyl cellulose; (h) chloride; and (i) water. In some embodiments, each of one to five peptides or a pharmaceutically acceptable salt thereof is present at a concentration of about 50, 100, 150, 200, 250, 300, 350, 400 μg/ml or more. In some embodiments, the pharmaceutical composition comprises (% v/v) equal to or lower than 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9% or 10% of DMSO. In some embodiments, DMSO is present in the pharmaceutical composition at about 1% to 3% by volume (% v/v). In some embodiments, the pharmaceutical composition comprises a concentration of about 1.0%, 1.1%, 1.2%, 1.3%, 1.4%, 1.5%, 1.6%, 1.7%, 1.8% by weight of the solution (% w/w) , 1.9%, 2.0%, 2.1%, 2.2%, 2.3%, 2.4%, 2.5%, 2.6%, 2.7%, 2.8%, 2.9%, 3.0%, 3.1%, 3.2%, 3.3%, 3.4%, 3.5 %, 3.6%, 3.7%, 3.8%, 3.9%, 4.0%, 4.1%, 4.2%, 4.3%, 4.4%, 4.5%, 4.6%, 4.7%, 4.8%, 4.9%, 5.0%, 5.1%, 5.2%, 5.3%, 5.4%, 5.5%, 5.6%, 5.7%, 5.8%, 5.9%, 6.0%, 6.1%, 6.2%, 6.3%, 6.4%, 6.5%, 6.6%, 6.7%, 6.8% , 6.9%, 7.0%, 7.1%, 7.2%, 7.3%, 7.4%, 7.5%, 7.6%, 7.7%, 7.8%, 7.9%, 8.0%, 8.1%, 8.2%, 8.3%, 8.4%, 8.5 %, 8.6%, 8.7%, 8.8%, 8.9%, 9.0%, 9.1%, 9.2%, 9.3%, 9.4%, 9.5%, 9.6%, 9.7%, 9.8%, 9.9%, 10% or more Spin sugar. In some embodiments, the pharmaceutical composition comprises a concentration of about 1.0%, 1.1%, 1.2%, 1.3%, 1.4%, 1.5%, 1.6%, 1.7% by weight of water in the solution (% w/w water) , 1.8%, 1.9%, 2.0%, 2.1%, 2.2%, 2.3%, 2.4%, 2.5%, 2.6%, 2.7%, 2.8%, 2.9%, 3.0%, 3.1%, 3.2%, 3.3%, 3.4 %, 3.5%, 3.6%, 3.7%, 3.8%, 3.9%, 4.0%, 4.1%, 4.2%, 4.3%, 4.4%, 4.5%, 4.6%, 4.7%, 4.8%, 4.9%, 5.0%, 5.1%, 5.2%, 5.3%, 5.4%, 5.5%, 5.6%, 5.7%, 5.8%, 5.9%, 6.0%, 6.1%, 6.2%, 6.3%, 6.4%, 6.5%, 6.6%, 6.7% , 6.8%, 6.9%, 7.0%, 7.1%, 7.2%, 7.3%, 7.4%, 7.5%, 7.6%, 7.7%, 7.8%, 7.9%, 8.0%, 8.1%, 8.2%, 8.3%, 8.4 %, 8.5%, 8.6%, 8.7%, 8.8%, 8.9%, 9.0%, 9.1%, 9.2%, 9.3%, 9.4%, 9.5%, 9.6%, 9.7%, 9.8%, 9.9%, 10% or Dextrose above. In some embodiments, the pharmaceutical composition comprises about 3.6% to 3.7% dextrose by weight (% w/w) of the solution. In some embodiments, the pharmaceutical composition comprises about 3.6% to 3.7% dextrose by weight of water in the solution (% w/w water). In some embodiments, the pharmaceutical composition comprises Poly I: Poly C at a concentration of about 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1.0 mg/ml or more. In some embodiments, the pharmaceutical composition comprises a concentration of about 0.100, 0.125, 0.150, 0.175, 0.200, 0.225, 0.250, 0.275, 0.300, 0.325, 0.350, 0.375, 0.400, 0.425, 0.450, 0.475, 0.500 mg/ml or The above poly-L-lysine. In some embodiments, the pharmaceutical composition comprises sodium carboxymethyl cellulose at a concentration of about 0.25, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.25, 2.50 mg/ml or more. In some embodiments, the pharmaceutical composition comprises a concentration of 0.100%, 0.125%, 0.150%, 0.175%, 0.200%, 0.225%, 0.250%, 0.275%, by weight of water in the solution (% w/w water) Sodium chloride of 0.300%, 0.325%, 0.350%, 0.375%, 0.400%, 0.425%, 0.450%, 0.475%, 0.500% or more. In some embodiments, the pharmaceutical composition comprises a concentration of 0.100%, 0.125%, 0.150%, 0.175%, 0.200%, 0.225%, 0.250%, 0.275%, 0.300%, by weight of the solution (% w/w) Sodium chloride of 0.325%, 0.350%, 0.375%, 0.400%, 0.425%, 0.450%, 0.475%, 0.500% or more.

在一些實施例中,醫藥組合物可為可凍乾的或凍乾的。在一些實施例中,凍乾組合物可具有更長存放期且可為更便於轉移。在一些實施例中,凍乾組合物之存放期為約0.5分鐘、約1分鐘、約2分鐘、約3分鐘、約4分鐘、約5分鐘、約10分鐘、約15分鐘、約20分鐘、約30分鐘、約45分鐘或約60分鐘。在一些實施例中,凍乾組合物之存放期為約1小時、約2小時、約3小時、約4小時、約5小時、約10小時、約15小時、約20小時或約24小時。在一些實施例中,凍乾組合物之存放期為約1天、約2天、約3天、約4天、約5天、約10天、約15天、約20天、約25天、約28天、約30天或約31天。在一些實施例中,凍乾組合物之存放期為約1個月、約2個月、約3個月、約5個月、約6個月、約7個月、約8個月、約9個月、約10個月、約11個月或約12個月。在一些實施例中,凍乾組合物之存放期為約1年、約2年、約3年、約4年或約5年。在一些實施例中,凍乾組合物之存放期在約0.5分鐘至約60分鐘、約1分鐘至約60分鐘、約2分鐘至約60分鐘、約3分鐘至約60分鐘、約4分鐘至約60分鐘、約5分鐘至約60分鐘、約10分鐘至約60分鐘、約15分鐘至約60分鐘、約20分鐘至約60分鐘、約30分鐘至約60分鐘或約45分鐘至約60分鐘之範圍內。在一些實施例中,凍乾組合物之存放期在約1小時至約24小時、約2小時至約24小時、約3小時至約24小時、約4小時至約24小時、約5小時至約24小時、約10小時至約24小時、約15小時至約24小時或約20小時至約24小時之範圍內。在一些實施例中,凍乾組合物之存放期在約1天至約31天、2天至約31天、3天至約31天、4天至約31天、5天至約31天、10天至約31天、15天至約31天、20天至約31天、25天至約31天之範圍內。在一些實施例中,凍乾組合物之存放期在約1個月至約12個月、2個月至約12個月、3個月至約12個月、4個月至約12個月、5個月至約12個月、6個月至約12個月、7個月至約12個月、8個月至約12個月、9個月至約12個月、10個月至約12個月或約11個月至約12個月之範圍內。在一些實施例中,凍乾組合物之存放期在約1年至約2年、約1年至約3年、約1年至約4年、約1年至約5年、約2年至約3年、約2年至約4年、約2年至約5年、約3年至約4年、約3年至約5年或約4年至約5年之範圍內。In some embodiments, the pharmaceutical composition may be lyophilizable or lyophilized. In some embodiments, the lyophilized composition may have a longer shelf life and may be easier to transfer. In some embodiments, the shelf life of the lyophilized composition is about 0.5 minutes, about 1 minute, about 2 minutes, about 3 minutes, about 4 minutes, about 5 minutes, about 10 minutes, about 15 minutes, about 20 minutes, About 30 minutes, about 45 minutes, or about 60 minutes. In some embodiments, the shelf life of the lyophilized composition is about 1 hour, about 2 hours, about 3 hours, about 4 hours, about 5 hours, about 10 hours, about 15 hours, about 20 hours, or about 24 hours. In some embodiments, the shelf life of the lyophilized composition is about 1 day, about 2 days, about 3 days, about 4 days, about 5 days, about 10 days, about 15 days, about 20 days, about 25 days, About 28 days, about 30 days, or about 31 days. In some embodiments, the shelf life of the lyophilized composition is about 1 month, about 2 months, about 3 months, about 5 months, about 6 months, about 7 months, about 8 months, about 9 months, about 10 months, about 11 months, or about 12 months. In some embodiments, the shelf life of the lyophilized composition is about 1 year, about 2 years, about 3 years, about 4 years, or about 5 years. In some embodiments, the shelf life of the lyophilized composition is about 0.5 minutes to about 60 minutes, about 1 minute to about 60 minutes, about 2 minutes to about 60 minutes, about 3 minutes to about 60 minutes, about 4 minutes to About 60 minutes, about 5 minutes to about 60 minutes, about 10 minutes to about 60 minutes, about 15 minutes to about 60 minutes, about 20 minutes to about 60 minutes, about 30 minutes to about 60 minutes, or about 45 minutes to about 60 Within minutes. In some embodiments, the shelf life of the lyophilized composition is about 1 hour to about 24 hours, about 2 hours to about 24 hours, about 3 hours to about 24 hours, about 4 hours to about 24 hours, about 5 hours to Within a range of about 24 hours, about 10 hours to about 24 hours, about 15 hours to about 24 hours, or about 20 hours to about 24 hours. In some embodiments, the shelf life of the lyophilized composition is about 1 day to about 31 days, 2 days to about 31 days, 3 days to about 31 days, 4 days to about 31 days, 5 days to about 31 days, 10 days to about 31 days, 15 days to about 31 days, 20 days to about 31 days, 25 days to about 31 days. In some embodiments, the shelf life of the lyophilized composition is about 1 month to about 12 months, 2 months to about 12 months, 3 months to about 12 months, 4 months to about 12 months , 5 months to about 12 months, 6 months to about 12 months, 7 months to about 12 months, 8 months to about 12 months, 9 months to about 12 months, 10 months to In the range of about 12 months or about 11 months to about 12 months. In some embodiments, the shelf life of the lyophilized composition is about 1 year to about 2 years, about 1 year to about 3 years, about 1 year to about 4 years, about 1 year to about 5 years, about 2 years to About 3 years, about 2 years to about 4 years, about 2 years to about 5 years, about 3 years to about 4 years, about 3 years to about 5 years, or about 4 years to about 5 years.

在一些實施例中,與尚未凍乾之醫藥組合物相比凍乾醫藥組合物之存放期可增加約10%至約300%、約20%至約300%、約50%至約300%、約100%至約300%、約150%至約300%、約200%至約300%、約250%至約300%、約10%至約250%、約20%至約250%、約50%至約250%、約100%至約250%、約150%至約250%、約200%至約250%、約10%至約200%、約20%至約200%、約50%至約200%、約100%至約200%、約150%至約200%、10%至約150%、20%至約150%、50%至約150%、100%至約150%、10%至約100%、20%至約100%、50%至約100%、10%至約50%、20%至約50%、10%至約20%、至少約1%、至少約2%、至少約3%、至少約4%、至少約5%、至少約6%、至少約7%、至少約8%、至少約9%、至少約10%、至少約15%、至少約20%、至少約25%、至少約30%、至少約35%、至少約40%、至少約45%、至少約50%、至少約60%、至少約70%、至少約80%、至少約90%、至少約100%、至少約150%、至少約200%、至少約250%或至少約300%。在一些實施例中,與尚未凍乾之醫藥組合物相比凍乾醫藥組合物之存放期可增加約1.1至約10倍、約1.5至約10倍、約2至約10倍、約3至約10倍、約4至約10倍、約1.1至約5倍、約1.1至約6倍、約1.1至約7倍、約1.1至約8倍、約1.1至約9倍、約2至約5倍、約2至約6倍、約2至約7倍、約2至約8倍、約2至約9倍、約3至約6倍、約3至約7倍、約3至約8倍、約3至約9倍、約4至約7倍、約4至約8倍、約4至約9倍、至少約1.1倍、至少約1.5倍、至少約2倍、至少約2.5倍、至少約3倍、至少約3.5倍、至少約4倍、至少約5倍或至少約10倍。取決於特定應用,本發明組合物之一或多種組分可凍乾。在一些實施例中,本發明組合物包含至少一種凍乾肽。在一些實施例中,本發明組合物包含至少一種凍乾肽及凍乾pH調節劑。在投與之前一或多種凍乾組分可與無菌溶液合併。在一些實施例中,在投與之前至少一種凍乾肽可與非凍乾醫藥學上可接受之載劑合併。在一些實施例中,在投與之前至少一種凍乾肽可與非凍乾pH調節劑及非凍乾醫藥學上可接受之載劑合併。在一些實施例中,在投與之前至少一種凍乾肽可與非凍乾pH調節劑、非凍乾免疫調節劑或佐劑及非凍乾醫藥學上可接受之載劑合併。In some embodiments, the shelf life of the lyophilized pharmaceutical composition can be increased by about 10% to about 300%, about 20% to about 300%, about 50% to about 300%, compared to the pharmaceutical composition that has not been lyophilized. About 100% to about 300%, about 150% to about 300%, about 200% to about 300%, about 250% to about 300%, about 10% to about 250%, about 20% to about 250%, about 50 % To about 250%, about 100% to about 250%, about 150% to about 250%, about 200% to about 250%, about 10% to about 200%, about 20% to about 200%, about 50% to About 200%, about 100% to about 200%, about 150% to about 200%, 10% to about 150%, 20% to about 150%, 50% to about 150%, 100% to about 150%, 10% To about 100%, 20% to about 100%, 50% to about 100%, 10% to about 50%, 20% to about 50%, 10% to about 20%, at least about 1%, at least about 2%, At least about 3%, at least about 4%, at least about 5%, at least about 6%, at least about 7%, at least about 8%, at least about 9%, at least about 10%, at least about 15%, at least about 20%, At least about 25%, at least about 30%, at least about 35%, at least about 40%, at least about 45%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, At least about 100%, at least about 150%, at least about 200%, at least about 250%, or at least about 300%. In some embodiments, the shelf life of the lyophilized pharmaceutical composition can be increased by about 1.1 to about 10 times, about 1.5 to about 10 times, about 2 to about 10 times, about 3 to About 10 times, about 4 to about 10 times, about 1.1 to about 5 times, about 1.1 to about 6 times, about 1.1 to about 7 times, about 1.1 to about 8 times, about 1.1 to about 9 times, about 2 to about 5 times, about 2 to about 6 times, about 2 to about 7 times, about 2 to about 8 times, about 2 to about 9 times, about 3 to about 6 times, about 3 to about 7 times, about 3 to about 8 Times, about 3 to about 9 times, about 4 to about 7 times, about 4 to about 8 times, about 4 to about 9 times, at least about 1.1 times, at least about 1.5 times, at least about 2 times, at least about 2.5 times, At least about 3 times, at least about 3.5 times, at least about 4 times, at least about 5 times, or at least about 10 times. Depending on the particular application, one or more components of the composition of the invention may be lyophilized. In some embodiments, the composition of the invention comprises at least one lyophilized peptide. In some embodiments, the composition of the present invention comprises at least one lyophilized peptide and a lyophilized pH adjusting agent. One or more lyophilized components can be combined with the sterile solution prior to administration. In some embodiments, at least one lyophilized peptide can be combined with a non-lyophilized pharmaceutically acceptable carrier prior to administration. In some embodiments, at least one lyophilized peptide can be combined with a non-lyophilized pH adjusting agent and a non-lyophilized pharmaceutically acceptable carrier before administration. In some embodiments, at least one lyophilized peptide can be combined with a non-lyophilized pH adjusting agent, a non-lyophilized immunomodulator or adjuvant, and a non-lyophilized pharmaceutically acceptable carrier before administration.

本發明亦提供一種製備醫藥組合物之方法。製備本發明組合物之方法可包含合併至少一種肽與pH調節劑及醫藥學上可接受之載劑。製備本發明組合物之方法可包含合併至少一種肽與pH調節劑、免疫調節劑或佐劑及醫藥學上可接受之載劑。製備本發明組合物之方法亦可包含合併肽與pH調節劑及醫藥學上可接受之載劑使得pH調節劑之濃度小於1.0 mM。製備本發明組合物之方法亦可包含合併肽與pH調節劑、免疫調節劑或佐劑及醫藥學上可接受之載劑使得pH調節劑之濃度小於1.0 mM。製備醫藥組合物之方法可包含製備包含至少一種新抗原肽的溶液。製備此類溶液可指將至少一種肽溶解至溶劑中;舉例而言,將肽溶解至DMSO中以便製得50 mg/ml於DMSO儲備液中之肽。在處置溶液中通常使用之步驟或程序可包括攪動、混合、振盪、音波處理、加熱、冷卻、稀釋、過濾等,且一般熟習此項技術者可識別適合之步驟或程序及對於特定肽或溶液而言何時需要額外步驟或程序。存在各種可能的用於合併本發明組合物之組分的順序,且本發明涵蓋所有順序。在一些實施例中,首先將至少一種肽溶解於DMSO中,且將DMSO儲備液與包含pH調節劑之水溶液合併。在其他實施例中,至少一種肽及pH調節劑同時溶解於溶液中。在一些實施例中,在本發明組合物之組分的任何合併之前及/或之後可採用一或多個過濾步驟以移除任何不可溶材料。The invention also provides a method for preparing a pharmaceutical composition. The method of preparing the composition of the present invention may comprise combining at least one peptide with a pH adjusting agent and a pharmaceutically acceptable carrier. The method of preparing the composition of the present invention may comprise combining at least one peptide with a pH adjusting agent, an immunomodulating agent or an adjuvant, and a pharmaceutically acceptable carrier. The method of preparing the composition of the present invention may also include combining the peptide with the pH adjusting agent and a pharmaceutically acceptable carrier so that the concentration of the pH adjusting agent is less than 1.0 mM. The method of preparing the composition of the present invention may also comprise combining the peptide with a pH adjusting agent, an immunomodulating agent or an adjuvant and a pharmaceutically acceptable carrier such that the concentration of the pH adjusting agent is less than 1.0 mM. The method of preparing the pharmaceutical composition may include preparing a solution containing at least one neoantigenic peptide. The preparation of such a solution may refer to dissolving at least one peptide in a solvent; for example, dissolving the peptide in DMSO to prepare a 50 mg/ml peptide in the DMSO stock solution. Steps or procedures commonly used in the treatment of solutions may include agitation, mixing, shaking, sonic treatment, heating, cooling, dilution, filtration, etc., and those skilled in the art can generally identify suitable steps or procedures and for specific peptides or solutions When additional steps or procedures are required. There are various possible orders for combining the components of the composition of the present invention, and the present invention covers all orders. In some embodiments, at least one peptide is first dissolved in DMSO, and the DMSO stock solution is combined with an aqueous solution containing a pH adjusting agent. In other embodiments, at least one peptide and a pH adjusting agent are simultaneously dissolved in the solution. In some embodiments, one or more filtration steps may be employed to remove any insoluble materials before and/or after any combination of the components of the composition of the invention.

類似地,本文提供製備新抗原肽溶液之方法。製備此類溶液可指將至少一種肽溶解至溶劑中;舉例而言,將肽溶解至DMSO中以便製得50 mg/ml於DMSO中之肽儲備液。製備本發明溶液之方法亦可包含合併肽與pH調節劑使得pH調節劑之濃度小於1.0 mM。存在各種可能的用於合併本發明溶液之組分的順序,且本發明涵蓋所有順序。在一些實施例中,首先將至少一種肽溶解於DMSO中,且將DMSO儲備液與包含pH調節劑之水溶液合併。在其他實施例中,至少一種肽及pH調節劑同時溶解於溶液中。在一些實施例中,在本發明組合物之組分的任何合併之前及/或之後可採用一或多個過濾步驟以移除任何不可溶材料。疫苗及套組 Similarly, provided herein are methods for preparing new antigen peptide solutions. The preparation of such a solution may refer to dissolving at least one peptide in a solvent; for example, dissolving the peptide in DMSO to prepare a 50 mg/ml peptide stock solution in DMSO. The method of preparing the solution of the present invention may also include combining the peptide and the pH adjusting agent so that the concentration of the pH adjusting agent is less than 1.0 mM. There are various possible sequences for combining the components of the solution of the invention, and the invention covers all sequences. In some embodiments, at least one peptide is first dissolved in DMSO, and the DMSO stock solution is combined with an aqueous solution containing a pH adjusting agent. In other embodiments, at least one peptide and a pH adjusting agent are simultaneously dissolved in the solution. In some embodiments, one or more filtration steps may be employed to remove any insoluble materials before and/or after any combination of the components of the composition of the invention. Vaccines and kits

在一些態樣中,本文提供包含醫藥組合物之疫苗或免疫原性組合物。在一些實施例中,疫苗為贅瘤疫苗。在一些態樣中,提供包含調配物之一或多種組分的套組。套組可包含向使用者提供諸如如何使用該等套組及如何投與所得調配物之資訊的說明。若適用,則本發明組合物之各組分可以液體、固體或其組合之形式包括於套組中;舉例而言,至少一種肽及/或pH調節劑可預溶解於套組中所提供之溶液中,或其可呈固體形式在投與之前使用者可能需要將其與液體合併,取決於套組所提供之特定說明。在一些實施例中,套組包含凍乾組合物,該凍乾組合物包含至少一種新抗原肽。在一些實施例中,套組可包含說明,其教示使用者合併至少一種肽與pH調節劑使得pH調節劑以小於1.0 mM之濃度存在於所得溶液中。在一些實施例中,套組可進一步包含醫藥學上可接受之載劑,諸如水、DMSO、其他(共)溶劑或其組合。取決於醫藥組合物或疫苗組合物、應用、投與途徑及其他考慮因素,套組可包含各種容器(諸如小瓶、瓶子、管子、包及一片(非)可溶紙)、各種液體(諸如溶劑、共溶劑及緩衝液)以及各種固體(諸如鹽、糖及凍乾肽)。在一些實施例中,套組含有不需要復原之單次劑量或多次劑量,其中使用者可按原樣投與套組中所含有之調配物。在其他實施例中,套組含有需要復原之單次劑量或多次劑量,其中使用者可合併套組中所提供之組分與套組中可提供或可不提供之其他組分;舉例而言,使用者可能需要合併套組中所提供之凍乾肽與套組中可提供或可不提供之水或緩衝液。In some aspects, provided herein is a vaccine or immunogenic composition comprising a pharmaceutical composition. In some embodiments, the vaccine is a neoplastic vaccine. In some aspects, a kit comprising one or more components of the formulation is provided. The kit may include instructions to provide the user with information such as how to use the kit and how to administer the resulting formulation. If applicable, each component of the composition of the present invention may be included in the kit in the form of a liquid, a solid, or a combination thereof; for example, at least one peptide and/or pH adjusting agent may be pre-dissolved in the kit Depending on the specific instructions provided by the kit, the solution, or it may be in solid form, before administration, the user may need to combine it with the liquid. In some embodiments, the kit includes a lyophilized composition that includes at least one neoantigenic peptide. In some embodiments, the kit may include instructions that teach the user to combine at least one peptide with a pH adjusting agent so that the pH adjusting agent is present in the resulting solution at a concentration of less than 1.0 mM. In some embodiments, the kit may further comprise a pharmaceutically acceptable carrier, such as water, DMSO, other (co)solvents, or a combination thereof. Depending on the pharmaceutical composition or vaccine composition, application, administration route and other considerations, the kit may contain various containers (such as vials, bottles, tubes, bags and a piece of (non) soluble paper), various liquids (such as solvents , Co-solvents and buffers) and various solids (such as salts, sugars and lyophilized peptides). In some embodiments, the kit contains a single dose or multiple doses that do not need to be restored, wherein the user can administer the formulation contained in the kit as is. In other embodiments, the kit contains a single dose or multiple doses that need to be restored, where the user can combine the components provided in the kit with other components that may or may not be provided in the kit; for example The user may need to combine the lyophilized peptide provided in the kit with the water or buffer that may or may not be provided in the kit.

本文所提供之套組可包含病毒載體。在病毒載體存在下,至少一種新抗原肽可在活體內或活體外在細胞中經編碼及表現。可使用之常見病毒載體包括基於慢病毒之載體,基於腺病毒之載體,基於腺相關病毒(AAV)之載體,基於諸如痘苗病毒、ALVAC、改良型安卡拉痘苗病毒(Modified Vaccinia Ankara) (MVA)病毒及改良型痘苗病毒哥本哈根株(modified Copenhagen strain of vaccinia virus)的痘病毒之載體;以及基於諸如鼠類白血病病毒(MuLV)、長臂猿白血病病毒(GaLV)、猿猴免疫缺乏症病毒(SIV)及人類免疫缺乏症病毒(HIV)的反轉錄病毒之載體。The kits provided herein may contain viral vectors. In the presence of viral vectors, at least one neoantigen peptide can be encoded and expressed in cells in vivo or in vitro. Common viral vectors that can be used include lentivirus-based vectors, adenovirus-based vectors, adeno-associated virus (AAV)-based vectors, based on viruses such as vaccinia virus, ALVAC, Modified Vaccinia Ankara (MVA) virus And modified vaccinia virus of Copenhagen strain (vaccinia virus) vectors; and based on such as murine leukemia virus (MuLV), gibbon leukemia virus (GaLV), simian immunodeficiency virus (SIV) and human immunity Vectors of retroviruses for deficiency virus (HIV).

本發明亦提供一種製備疫苗組合物之方法。製備疫苗組合物之方法可包含製備包含至少一種新抗原肽的溶液。製備此類溶液可指將至少一種肽溶解至溶劑中;舉例而言,將肽溶解至DMSO中以便製得50 mg/ml於DMSO儲備液中之肽。製備疫苗組合物之方法可包含合併肽與pH調節劑及醫藥學上可接受之載劑使得pH調節劑之濃度小於1.0 mM。製備疫苗組合物之方法亦可包含合併至少一種肽與免疫調節劑或佐劑。存在各種可能的用於合併本發明疫苗組合物之組分的順序,且本發明涵蓋所有順序。在一些實施例中,首先將至少一種肽溶解於DMSO中;隨後將DMSO儲備液與包含pH調節劑之水溶液合併;及最後將包含免疫調節劑或佐劑之溶液合併成上文肽-pH調節劑溶液。在其他實施例中,將至少一種肽、pH調節劑及免疫調節劑或佐劑同時溶解於溶液中。在一些實施例中,在本發明組合物之組分的任何合併之前及/或之後可採用一或多個過濾步驟以移除任何不可溶材料。治療性治療 The invention also provides a method for preparing a vaccine composition. The method of preparing a vaccine composition may include preparing a solution containing at least one neoantigenic peptide. The preparation of such a solution may refer to dissolving at least one peptide in a solvent; for example, dissolving the peptide in DMSO to prepare a 50 mg/ml peptide in the DMSO stock solution. The method of preparing a vaccine composition may include combining the peptide with a pH adjusting agent and a pharmaceutically acceptable carrier so that the concentration of the pH adjusting agent is less than 1.0 mM. The method of preparing a vaccine composition may also include combining at least one peptide with an immunomodulator or adjuvant. There are various possible sequences for combining the components of the vaccine composition of the present invention, and the present invention covers all sequences. In some embodiments, at least one peptide is first dissolved in DMSO; then the DMSO stock solution is combined with an aqueous solution containing a pH adjusting agent; and finally the solution containing an immunomodulating agent or adjuvant is combined into the above peptide-pH adjustment Agent solution. In other embodiments, at least one peptide, pH adjuster, and immunomodulator or adjuvant are simultaneously dissolved in the solution. In some embodiments, one or more filtration steps may be employed to remove any insoluble materials before and/or after any combination of the components of the composition of the invention. Therapeutic treatment

亦涵蓋一種藉由投與本文所提供之組合物治療病況或疾病之方法。在一些實施例中,病況或疾病為贅瘤。在一些實施例中,贅瘤為癌症。治療患有贅瘤之受試者的方法可指誘發受試者之免疫反應及藉由投與受試者疫苗或醫藥組合物來治療該受試者之贅瘤。組合物可用於已診斷為患有贅瘤或處於罹患其之風險的受試者。組合物可以適合於受試者之量及時間間隔(在一系列投與之情形下)向該受試者投與。舉例而言,治療病況或疾病之方法可包含以規則時間間隔(諸如一日、一週及一月)持續一段時間向受試者投與一個單位劑量之組合物。在一些實施例中,該方法包含向受試者投與第2、第3、第4、第5、第6、第7、第8、第9、第10或更多種組合物,其中獨立地選擇各投與(包括組成、量、投與時機)。Also encompassed is a method of treating a condition or disease by administering the compositions provided herein. In some embodiments, the condition or disease is a neoplasm. In some embodiments, the neoplasm is cancer. A method of treating a subject suffering from a neoplasm may refer to inducing an immune response in the subject and treating the neoplasm of the subject by administering a vaccine or pharmaceutical composition to the subject. The composition can be used in subjects who have been diagnosed with or are at risk of developing neoplasia. The composition may be administered to the subject in an amount and time interval appropriate to the subject (in the case of a series of administrations). For example, a method of treating a condition or disease may include administering a unit dose of the composition to the subject at regular intervals, such as one day, one week, and one month. In some embodiments, the method comprises administering to the subject the second, third, fourth, fifth, sixth, seventh, eighth, ninth, tenth or more compositions, wherein the independent Choose each investment (including composition, amount, and timing).

在一些實施例中,根據組合物可預防或治療之癌症的特定實例包括但不限於:腎癌(腎癌)、腎臟癌(kidney cancer)、多形性膠質母細胞瘤、轉移性乳腺癌;乳腺癌瘤;乳腺肉瘤;神經纖維瘤(neurofibroma);神經纖維瘤(neurofibromatosis);小兒腫瘤;神經母細胞瘤;惡性黑色素瘤;表皮癌瘤;白血病,諸如但不限於急性白血病,急性淋巴球性白血病,急性骨髓細胞性白血病(諸如骨髓母細胞性、前髓細胞性、骨髓單核細胞性、單核球性、紅白血病白血病及脊髓發育不良症候群),慢性白血病(諸如但不限於慢性骨髓細胞性(顆粒球性)白血病、慢性淋巴球性白血病、毛細胞白血病);真性紅血球增多症;淋巴瘤,諸如但不限於霍奇金氏病、非霍奇金氏病;多發性骨髓瘤,諸如但不限於鬱積型多發性骨髓瘤、非分泌型骨髓瘤、骨硬化性骨髓瘤、血漿細胞白血病、孤立性漿細胞瘤及髓外漿細胞瘤;瓦爾登斯特倫氏巨球蛋白血症;未確定重要性單株球蛋白症;良性單株球蛋白症;重鏈疾病;骨癌及結締組織肉瘤,諸如但不限於骨骼肉瘤、骨髓瘤骨骼疾病、多發性骨髓瘤、膽脂瘤誘發之骨骼骨肉瘤、骨骼佩吉特氏病(Paget's disease of bone)、骨肉瘤、軟骨肉瘤、尤文氏肉瘤(Ewing's sarcoma)、惡性巨細胞瘤、骨骼纖維肉瘤、脊索瘤、骨膜肉瘤、軟組織肉瘤、血管肉瘤(angiosarcoma/hemangiosarcoma)、纖維肉瘤、卡波西氏肉瘤(Kaposi's sarcoma)、平滑肌肉瘤、脂肪肉瘤、淋巴管肉瘤、神經鞘瘤、橫紋肌肉瘤及滑膜肉瘤;腦腫瘤,諸如但不限於神經膠質瘤、星形細胞瘤、腦幹神經膠質瘤、室管膜瘤、少突神經膠質瘤、非神經膠質腫瘤(nonglial tumor)、聽覺神經鞘瘤、顱咽管瘤、神經管胚細胞瘤、脊膜瘤、松果體細胞瘤、成松果體細胞瘤及原發性腦淋巴瘤;乳腺癌,包括但不限於腺癌、小葉(小細胞)癌瘤、管內癌瘤、髓質乳腺癌、黏液性乳腺癌、管狀乳腺癌、乳頭狀乳腺癌、佩吉特氏病(包括幼年型佩吉特氏病)及炎性乳腺癌;腎上腺癌,諸如但不限於嗜鉻細胞瘤及腎上腺皮質癌;甲狀腺癌,諸如但不限於乳頭狀或卵泡甲狀腺癌、髓質甲狀腺癌及多形性甲狀腺癌;胰臟癌,諸如但不限於胰島素瘤、胃泌素瘤、升糖素瘤、血管活性腸肽瘤、生長抑素分泌腫瘤及類癌或胰島細胞腫瘤;垂體癌,諸如但限於庫欣氏病(Cushing's disease)、催乳素分泌腫瘤、肢端肥大症及糖尿病尿崩症;眼癌,諸如但不限於眼部黑色素瘤(諸如虹膜黑色素瘤、脈絡膜黑色素瘤及睫狀體黑色素瘤)及視網膜母細胞瘤;陰道癌,諸如鱗狀細胞癌瘤、腺癌瘤及黑色素瘤;外陰癌,諸如鱗狀細胞癌瘤、黑色素瘤、腺癌瘤、基底細胞癌瘤、肉瘤及佩吉特氏病;宮頸癌,諸如但不限於鱗狀細胞癌瘤及腺癌瘤;子宮癌,諸如但不限於子宮內膜癌瘤及子宮肉瘤;卵巢癌,諸如但不限於卵巢上皮癌瘤、邊界腫瘤、生殖細胞腫瘤及基質腫瘤;宮頸癌瘤;食管癌,諸如但不限於鱗狀癌、腺癌瘤、腺樣囊性癌瘤、黏液表皮樣癌瘤、腺鱗癌瘤、肉瘤、黑色素瘤、漿細胞瘤、疣狀癌瘤及燕麥細胞(小細胞)癌瘤;胃癌,諸如但不限於腺癌瘤、蕈樣(息肉樣)、潰瘍型、淺表擴散、分散擴散、惡性淋巴瘤、脂肪肉瘤、纖維肉瘤及癌肉瘤;結腸癌;KRAS突變結腸直腸癌;結腸癌瘤;直腸癌;肝癌,諸如但不限於肝細胞癌瘤及肝母細胞瘤;膽囊癌,諸如腺癌瘤;膽管癌瘤,諸如但不限於乳頭狀、節狀及分散性;肺癌,諸如KRAS突變非小細胞肺癌、非小細胞肺癌、鱗狀細胞癌瘤(表皮樣癌瘤)、腺癌瘤、大細胞癌瘤及小細胞肺癌;肺癌瘤;睾丸癌,諸如但不限於生發細胞腫瘤、精細胞癌、多形性、典型(classic/typical)、精母細胞型、非精原細胞瘤、胚胎癌瘤、畸胎癌瘤、絨膜癌瘤(卵黃囊腫瘤);前列腺癌,諸如但不限於非雄激素依賴性前列腺癌、雄激素依賴性前列腺癌、腺癌瘤、平滑肌肉瘤及橫紋肌肉瘤;陰莖癌;口腔癌,諸如但不限於鱗狀細胞癌瘤;基底細胞癌;唾液腺癌,諸如但不限於腺癌瘤、黏液表皮樣癌瘤及腺樣囊性癌瘤;咽癌,諸如但不限於鱗狀細胞癌及疣狀;皮膚癌,諸如但不限於基底細胞癌瘤、鱗狀細胞癌瘤及黑色素瘤、淺表擴散性黑素瘤、節狀黑色素瘤、雀斑惡性黑色素瘤、肢端雀斑痣性黑色素瘤;腎臟癌,諸如但不限於腎細胞癌、腺癌瘤、腎上腺樣瘤、纖維肉瘤、移行細胞癌(腎盂及/或輸尿管);腎癌瘤;威耳姆士腫瘤(Wilms’ tumor);膀胱癌,諸如但不限於移行細胞癌、鱗狀細胞癌、腺癌瘤、癌肉瘤。另外,癌症包括黏液肉瘤、骨原性肉瘤、內皮肉瘤、淋巴內皮肉瘤、間皮瘤、滑膜瘤、血管母細胞瘤、上皮癌瘤、囊腺癌瘤、支氣管癌瘤、汗腺癌瘤、皮脂腺癌瘤、乳頭狀癌瘤及乳頭狀腺癌瘤。In some embodiments, specific examples of cancers that can be prevented or treated according to the composition include, but are not limited to: kidney cancer (kidney cancer), kidney cancer (kidney cancer), glioblastoma multiforme, metastatic breast cancer; Breast cancer; Breast sarcoma; Neurofibroma; Neurofibromatosis; Pediatric tumor; Neuroblastoma; Malignant melanoma; Epidermal carcinoma; Leukemia, such as but not limited to acute leukemia, acute lymphocytic Leukemia, acute myelogenous leukemia (such as myeloblastic, promyelocytic, myelomonocytic, mononuclear, erythroleukemia, and spinal dysplasia syndrome), chronic leukemia (such as but not limited to chronic myeloid cells (Granulococcal leukemia, chronic lymphocytic leukemia, hairy cell leukemia); polycythemia vera; lymphomas, such as but not limited to Hodgkin's disease, non-Hodgkin's disease; multiple myeloma, such as But not limited to smoldering multiple myeloma, non-secretory myeloma, osteosclerotic myeloma, plasma cell leukemia, solitary plasmacytoma and extramedullary plasmacytoma; Waldenstrom's macroglobulinemia; Undetermined importance of single globulinosis; benign single globulinosis; heavy chain disease; bone cancer and connective tissue sarcoma, such as but not limited to bone sarcoma, myeloma bone disease, multiple myeloma, cholesteatoma Skeletal osteosarcoma, Paget's disease of bone, osteosarcoma, chondrosarcoma, Ewing's sarcoma, malignant giant cell tumor, skeletal fibrosarcoma, chordoma, periosteal sarcoma, soft tissue sarcoma, blood vessels Sarcomas (angiosarcoma/hemangiosarcoma), fibrosarcoma, Kaposi's sarcoma, leiomyosarcoma, liposarcoma, lymphangiosarcoma, schwannoma, rhabdomyosarcoma, and synovial sarcoma; brain tumors, such as but not limited to glioma Tumors, astrocytomas, brainstem gliomas, ependymomas, oligodendrogliomas, nonglial tumors, auditory schwannomas, craniopharyngiomas, neural tube blastomas, ridges Meningioma, pineal gland cell tumor, pineal gland cell tumor and primary brain lymphoma; breast cancer, including but not limited to adenocarcinoma, lobular (small cell) carcinoma, intraductal carcinoma, medullary breast cancer, Mucinous breast cancer, tubular breast cancer, papillary breast cancer, Paget's disease (including juvenile Paget's disease) and inflammatory breast cancer; adrenal cancers such as but not limited to pheochromocytoma and adrenal cortical cancer Thyroid cancer, such as but not limited to papillary or follicular thyroid cancer, medullary thyroid cancer and pleomorphic thyroid cancer; pancreatic cancer, such as but not limited to insulinoma, gastrinoma, glucagonoma, vasoactive intestine Peptide tumors, somatostatin secreting tumors and carcinoid or islet cell tumors; pituitary cancers, such as but not limited to Cushing's disease, Prolactin secreting tumors, acromegaly, and diabetic diabetes insipidus; eye cancers, such as but not limited to ocular melanomas (such as iris melanoma, choroidal melanoma, and ciliary body melanoma) and retinoblastoma; vaginal cancer , Such as squamous cell carcinoma, adenocarcinoma, and melanoma; vulvar cancer, such as squamous cell carcinoma, melanoma, adenocarcinoma, basal cell carcinoma, sarcoma, and Paget's disease; cervical cancer, such as but Not limited to squamous cell carcinoma and adenocarcinoma; uterine cancer, such as but not limited to endometrial carcinoma and uterine sarcoma; ovarian cancer, such as but not limited to ovarian epithelial carcinoma, borderline tumor, germ cell tumor and stromal tumor; Cervical carcinoma; esophageal cancer, such as but not limited to squamous cell carcinoma, adenocarcinoma, adenoid cystic carcinoma, mucoepidermoid carcinoma, adenosquamous carcinoma, sarcoma, melanoma, plasmacytoma, verrucous carcinoma And oat cell (small cell) carcinoma; gastric cancer, such as but not limited to adenocarcinoma, mycosis (polyposis), ulcer type, superficial spread, diffuse spread, malignant lymphoma, liposarcoma, fibrosarcoma and carcinosarcoma; Colon cancer; KRAS mutation colorectal cancer; colon cancer; rectal cancer; liver cancer, such as but not limited to hepatocellular carcinoma and hepatoblastoma; gallbladder cancer, such as adenocarcinoma; cholangiocarcinoma, such as but not limited to papillary , Nodules and scattered; lung cancer, such as KRAS mutation non-small cell lung cancer, non-small cell lung cancer, squamous cell carcinoma (epidermoid carcinoma), adenocarcinoma, large cell carcinoma and small cell lung cancer; lung cancer; Testicular cancer, such as but not limited to germ cell tumor, sperm cell carcinoma, pleomorphism, classic/typical, spermatocyte type, non-seminoma, embryonal carcinoma, teratocarcinoma, choriocarcinoma (Yolk sac tumor); prostate cancer, such as but not limited to non-androgen-dependent prostate cancer, androgen-dependent prostate cancer, adenocarcinoma, leiomyosarcoma and rhabdomyosarcoma; penile cancer; oral cancer, such as but not limited to squamous Cell carcinoma; Basal cell carcinoma; Salivary adenocarcinoma, such as but not limited to adenocarcinoma, mucoepidermoid carcinoma, and adenoid cystic carcinoma; Pharyngeal carcinoma, such as but not limited to squamous cell carcinoma and verrucous; skin cancer, Such as but not limited to basal cell carcinoma, squamous cell carcinoma and melanoma, superficial spreading melanoma, nodular melanoma, freckle malignant melanoma, acral freckle nevus melanoma; kidney cancer, such as but not Limited to renal cell carcinoma, adenocarcinoma, adrenal tumor, fibrosarcoma, transitional cell carcinoma (renal pelvis and/or ureter); renal carcinoma; Wilms' tumor; bladder cancer, such as but not limited to transition Cell carcinoma, squamous cell carcinoma, adenocarcinoma, carcinosarcoma. In addition, cancers include myxosarcoma, osteogenic sarcoma, endothelial sarcoma, lymphatic endothelial sarcoma, mesothelioma, synovial tumor, hemangioblastoma, epithelial carcinoma, cystadenocarcinoma, bronchial carcinoma, sweat gland carcinoma, sebaceous gland Carcinoma, papillary carcinoma and papillary adenocarcinoma.

在一些實施例中,組合物可在製備該組合物之後立即向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約0.5分鐘、約1分鐘、約2分鐘、約3分鐘、約4分鐘、約5分鐘、約10分鐘、約15分鐘、約20分鐘、約30分鐘、約45分鐘或約60分鐘向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1小時、約2小時、約3小時、約4小時、約5小時、約10小時、約15小時、約20小時或約24小時向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1天、約2天、約3天、約4天、約5天、約10天、約15天、約20天、約25天、約28天、約30天或約31天向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1個月、約2個月、約3個月、約5個月、約6個月、約7個月、約8個月、約9個月、約10個月、約11個月或約12個月向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1年、約2年、約3年、約4年或約5年向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約0.5分鐘至約60分鐘、1分鐘至約60分鐘、2分鐘至約60分鐘、3分鐘至約60分鐘、4分鐘至約60分鐘、5分鐘至約60分鐘、10分鐘至約60分鐘、15分鐘至約60分鐘、20分鐘至約60分鐘、30分鐘至約60分鐘或45分鐘至約60分鐘之範圍內向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1小時至約24小時、2小時至約24小時、3小時至約24小時、4小時至約24小時、5小時至約24小時、10小時至約24小時、15小時至約24小時或20小時至約24小時之範圍內向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1天至約31天、2天至約31天、3天至約31天、4天至約31天、5天至約31天、10天至約31天、15天至約31天、20天至約31天、25天至約31天之範圍內向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1個月至約12個月、2個月至約12個月、3個月至約12個月、4個月至約12個月、5個月至約12個月、6個月至約12個月、7個月至約12個月、8個月至約12個月、9個月至約12個月、10個月至約12個月或約11個月至約12個月之範圍內向患有贅瘤之受試者投與。在一些實施例中,組合物可在製備該組合物之後約1年至約2年、約1年至約3年、約1年至約4年、約1年至約5年、約2年至約3年、約2年至約4年、約2年至約5年、約3年至約4年、約3年至約5年或約4年至約5年之範圍內向患有贅瘤之受試者投與。In some embodiments, the composition may be administered to a subject suffering from neoplasia immediately after preparing the composition. In some embodiments, the composition may be about 0.5 minutes, about 1 minute, about 2 minutes, about 3 minutes, about 4 minutes, about 5 minutes, about 10 minutes, about 15 minutes, about 20 minutes after preparing the composition , About 30 minutes, about 45 minutes, or about 60 minutes of administration to subjects with neoplasia. In some embodiments, the composition may be about 1 hour, about 2 hours, about 3 hours, about 4 hours, about 5 hours, about 10 hours, about 15 hours, about 20 hours, or about 24 hours after preparing the composition Administration to subjects with neoplasia. In some embodiments, the composition may be about 1 day, about 2 days, about 3 days, about 4 days, about 5 days, about 10 days, about 15 days, about 20 days, about 25 days after preparing the composition , About 28 days, about 30 days, or about 31 days to administer to subjects with neoplasia. In some embodiments, the composition may be about 1 month, about 2 months, about 3 months, about 5 months, about 6 months, about 7 months, about 8 months, Subjects with neoplasia are administered for about 9 months, about 10 months, about 11 months, or about 12 months. In some embodiments, the composition may be administered to a subject with neoplasia about 1 year, about 2 years, about 3 years, about 4 years, or about 5 years after the composition is prepared. In some embodiments, the composition may be about 0.5 minutes to about 60 minutes, 1 minute to about 60 minutes, 2 minutes to about 60 minutes, 3 minutes to about 60 minutes, 4 minutes to about 60 minutes after preparing the composition , 5 minutes to about 60 minutes, 10 minutes to about 60 minutes, 15 minutes to about 60 minutes, 20 minutes to about 60 minutes, 30 minutes to about 60 minutes, or 45 minutes to about 60 minutes. Subject administered. In some embodiments, the composition may be about 1 hour to about 24 hours, 2 hours to about 24 hours, 3 hours to about 24 hours, 4 hours to about 24 hours, 5 hours to about 24 hours after preparing the composition , 10 hours to about 24 hours, 15 hours to about 24 hours, or 20 hours to about 24 hours in the range of administration to subjects with neoplasia. In some embodiments, the composition may be about 1 day to about 31 days, 2 days to about 31 days, 3 days to about 31 days, 4 days to about 31 days, 5 days to about 31 days after preparing the composition , 10 days to about 31 days, 15 days to about 31 days, 20 days to about 31 days, 25 days to about 31 days of administration to subjects with neoplasia. In some embodiments, the composition may be about 1 month to about 12 months, 2 months to about 12 months, 3 months to about 12 months, 4 months to about 12 after the composition is prepared Month, 5 months to about 12 months, 6 months to about 12 months, 7 months to about 12 months, 8 months to about 12 months, 9 months to about 12 months, 10 months Subjects with neoplasia are administered within a range of about 12 months or about 11 months to about 12 months. In some embodiments, the composition may be about 1 year to about 2 years, about 1 year to about 3 years, about 1 year to about 4 years, about 1 year to about 5 years, about 2 years after the composition is prepared Up to about 3 years, about 2 years to about 4 years, about 2 years to about 5 years, about 3 years to about 4 years, about 3 years to about 5 years, or about 4 years to about 5 years The subject of the tumor is administered.

本發明涵蓋一種醫藥或疫苗調配物,其用於製備用以治療病況或疾病之藥劑。在一些實施例中,藥劑可包含本發明組合物之一或多種凍乾或非凍乾組分或其組合或分離物。此外,本發明提供一種用於製備包含本發明組合物之藥劑的方法。在一些實施例中,病況或疾病為贅瘤。實例 The invention covers a pharmaceutical or vaccine formulation, which is used to prepare a medicament for treating a condition or disease. In some embodiments, the medicament may comprise one or more lyophilized or non-lyophilized components of the composition of the invention or a combination or isolate thereof. In addition, the present invention provides a method for preparing a medicament containing the composition of the present invention. In some embodiments, the condition or disease is a neoplasm. Examples

藉由以下實例更確切地說明本發明。然而,應理解本發明不以任何方式受此等實例限制。實例 1 :肽調配物及溶解度 The present invention is more precisely illustrated by the following examples. However, it should be understood that the present invention is not limited by these examples in any way. Example 1 : Peptide formulation and solubility

肽以化學方式合成並經純化。所有肽均使用Mettler Toledo之XP105 Delta Range天平在5 mL埃彭道夫(Eppendorf)管中稱量。凍乾肽之理論肽含量係藉由重量、理論三氟乙酸(TFA)含量及百分比純度來確定。百分比肽含量係使用方程式1及2確定;或者,其可以實驗方式確定。隨後使用方程式3計算標靶總重量(mg),且使用方程式4確定為獲得50 mg/ml之肽濃度所需的DMSO之體積。方程式 1

Figure 02_image003
方程式 2 肽含量= 100 - %TFA - %水,其中水= 6.45方程式 3
Figure 02_image005
方程式 4
Figure 02_image007
The peptide is synthesized chemically and purified. All peptides were weighed in 5 mL Eppendorf tubes using the XP105 Delta Range balance from Mettler Toledo. The theoretical peptide content of the lyophilized peptide is determined by weight, theoretical trifluoroacetic acid (TFA) content, and percent purity. The percentage peptide content is determined using equations 1 and 2; alternatively, it can be determined experimentally. The total target weight (mg) was then calculated using Equation 3, and Equation 4 was used to determine the volume of DMSO required to obtain a peptide concentration of 50 mg/ml. Equation 1 :
Figure 02_image003
Equation 2 : Peptide content = 100-%TFA-% water, where water = 6.45 Equation 3 :
Figure 02_image005
Equation 4 :
Figure 02_image007

每日藉由將1 M丁二酸鈉稀釋於5%右旋糖於水中(D5W)之溶液中至所需濃度來製備此研究中所用之丁二酸鹽緩衝劑。在肽已溶解於DMSO中獲得50 mg/ml儲備溶液之後,隨後將60 μL儲備溶液用於D5W中之1.44 mL 5 mM、0.75 mM、0.5 mM或0.25 mM丁二酸鈉稀釋。各肽溶液之pH使用具有電極pHE-11之Gene Mate計量器來量測。隨後將肽溶液在環境條件下儲存最少2小時以使得任何潛在的沈澱或凝膠出現。若溶液呈現透明狀且在研究期間未形成凝膠,則認為肽為完全可溶的。The succinate buffer used in this study was prepared daily by diluting 1 M sodium succinate in 5% dextrose in water (D5W) to the desired concentration. After the peptide had been dissolved in DMSO to obtain a 50 mg/ml stock solution, 60 μL of the stock solution was then used for dilution with 1.44 mL of 5 mM, 0.75 mM, 0.5 mM, or 0.25 mM sodium succinate in D5W. The pH of each peptide solution was measured using a Gene Mate meter with electrode pHE-11. The peptide solution was then stored under ambient conditions for a minimum of 2 hours to allow any potential precipitation or gel to appear. If the solution appeared transparent and no gel was formed during the study, the peptide was considered to be completely soluble.

二十種先前判定為部分可溶或不可溶於含有約5.0 mM丁二酸鹽之調配物中的肽在包含較低丁二酸鈉濃度之調配物中測試(參見表5)。另外20種可溶於含有約5.0 mM丁二酸鹽之調配物中的肽亦在較低丁二酸鹽條件下測試以證實其溶解度未不利地受降低丁二酸鹽濃度影響(參見表4)。所計算之本文所用肽之物理性質包括疏水性(藉由凱特-杜利特方法或藉由計算其HYDRO值)及pI,且展示於表4及5中。測試具有一系列pI及疏水性值之肽以更佳地理解彼等值如何影響在丁二酸鹽濃度範圍內之溶解度。Twenty peptides previously determined to be partially soluble or insoluble in formulations containing approximately 5.0 mM succinate were tested in formulations containing lower sodium succinate concentrations (see Table 5). Another 20 peptides soluble in formulations containing approximately 5.0 mM succinate were also tested at lower succinate conditions to confirm that their solubility was not adversely affected by the reduction of succinate concentration (see Table 4 ). The calculated physical properties of the peptides used herein include hydrophobicity (by Kate-Dulitt method or by calculating its HYDRO value) and pI, and are shown in Tables 4 and 5. Test peptides with a range of pI and hydrophobicity values to better understand how their values affect solubility within the succinate concentration range.

所有二十種可溶於含有約5.0 mM丁二酸鹽之調配物中的肽在較低丁二酸鹽濃度下均保持可溶(表4,圖像參見圖1)。降低pH調節劑濃度至小於1.0 mM並未不利地影響在更高pH調節劑濃度下可溶的肽之溶解度。All twenty peptides soluble in formulations containing approximately 5.0 mM succinate remained soluble at lower succinate concentrations (Table 4, see Figure 1 for images). Lowering the pH adjuster concentration to less than 1.0 mM does not adversely affect the solubility of peptides soluble at higher pH adjuster concentrations.

4 :20種可溶於5 mM丁二酸鹽且保持可溶於0.75 mM、0.50 mM及0.25 mM丁二酸鹽之肽的調配物可溶性結果。

Figure 108113861-A0304-0004
Table 4 : Solubility results for 20 formulations of peptides soluble in 5 mM succinate and remaining soluble in 0.75 mM, 0.50 mM, and 0.25 mM succinate.
Figure 108113861-A0304-0004

二十種不可溶於含有約5.0 mM丁二酸鹽之調配物中的肽中之十四種可溶於0.75 mM、0.5 mM及0.25 mM丁二酸鹽,但三種已僅可溶於0.25 mM丁二酸鹽(表5,圖像參見圖2)。因此,藉由使用pH調節劑濃度小於1.0 mM而非pH調節劑濃度為5.0 mM之調配物「拯救」至少70%之肽。在六種保持不可溶之肽中,其中四種具有4.3之pI,而另兩種具有中性pI以及較高疏水性。未有具有大約4之pI且不可溶於含有約5.0 mM丁二酸鹽之調配物的肽經較低丁二酸鹽濃度「拯救」。考慮到所計算之此等肽的pI值類似於調配物之pH,此觀測結果並不出人意料。若干具有等於或低於4.3之pI的可溶性肽亦經測試且儘管具有較低pH仍保持可溶於較低丁二酸鹽濃度。總體而言,降低本文所提供之組合物中pH調節劑之濃度提高肽之溶解度。Fourteen of the twenty peptides insoluble in formulations containing approximately 5.0 mM succinate are soluble in 0.75 mM, 0.5 mM, and 0.25 mM succinate, but three are only soluble in 0.25 mM Succinate (Table 5, see Figure 2 for images). Therefore, "save" at least 70% of the peptides by using a formulation with a pH adjuster concentration of less than 1.0 mM instead of a pH adjuster concentration of 5.0 mM. Of the six peptides that remain insoluble, four of them have a pI of 4.3, while the other two have a neutral pI and higher hydrophobicity. No peptides with a pi of about 4 and insoluble in formulations containing about 5.0 mM succinate were "rescued" by lower succinate concentrations. Considering that the calculated pI values of these peptides are similar to the pH of the formulation, this observation is not surprising. Several soluble peptides with a pi equal to or lower than 4.3 have also been tested and remain soluble in lower succinate concentrations despite having a lower pH. In general, reducing the concentration of the pH adjusting agent in the compositions provided herein increases the solubility of the peptide.

5 :20種不可溶於5 mM丁二酸鹽且變得可溶於0.75 mM、0.50 mM及0.25 mM丁二酸鹽中之肽的調配物可溶性結果。

Figure 108113861-A0304-0005
*?表明在無過濾回收研究情況下不能確定肽是否可溶或不可溶。實例 2 藉由濁度確定肽溶解 Table 5 : Solubility results for 20 formulations of peptides that are insoluble in 5 mM succinate and become soluble in 0.75 mM, 0.50 mM, and 0.25 mM succinate.
Figure 108113861-A0304-0005
*? indicates that it is not possible to determine whether the peptide is soluble or insoluble without filtration and recovery studies. Example 2 : Determination of peptide dissolution by turbidity

在既定溫度下肽或肽混合物是否完全可溶於調配物可使用濁度量測值確定。應使用實例1中所概述之方法製備含有肽或肽混合物之醫藥調配物。同時,除缺少待製備之肽或肽混合物以外參考調配物之組成與醫藥調配物大致相同。隨後參考及醫藥調配物之濁度應使用適合於量測濁度之任何儀器或技術來量測。此等儀器及技術包括但不限於目視檢查調配物、濁度計或濁度感測器。吾人預期當肽或肽混合物可溶於醫藥調配物時,與參考調配物相比濁度不應增大。吾人預期當肽或肽混合物部分可溶或不可溶於醫藥調配物時,與參考調配物相比濁度應增大。實例 3 :具有聚 - ICLC 之調配物 Whether the peptide or peptide mixture is completely soluble in the formulation at a given temperature can be determined using turbidity measurements. The method outlined in Example 1 should be used to prepare pharmaceutical formulations containing peptides or peptide mixtures. At the same time, the composition of the reference formulation is approximately the same as the pharmaceutical formulation except for the lack of the peptide or peptide mixture to be prepared. Subsequent reference and pharmaceutical formulation turbidity should be measured using any instrument or technique suitable for measuring turbidity. Such instruments and techniques include but are not limited to visual inspection of formulations, turbidity meters, or turbidity sensors. We expect that when the peptide or peptide mixture is soluble in the pharmaceutical formulation, the turbidity should not increase compared to the reference formulation. We expect that when the peptide or peptide mixture is partially soluble or insoluble in the pharmaceutical formulation, the turbidity should be increased compared to the reference formulation. Example 3 : Formulation with poly - ICLC

實例3展現本發明組合物與聚-ICLC (聚ICLC) (基於RNA之免疫刺激劑)相容。儘管對於肽溶解度而言較低丁二酸鹽濃度為適用的萬用調配,但假設其可能與聚-ICLC不相容,因為較低丁二酸鹽濃度中之肽具有3.2至4.0之pH且當與較低pH肽溶液合併時聚-ICLC可能沈澱。在RNA中磷酸基團之大致pKa為2且聚ICLC已呈混濁懸浮液形式存在;因此,有可能調配物之較低pH可造成聚ICLC進一步沈澱或凝集。因此,將聚ICLC在5 mM、0.50 mM及0.25 mM丁二酸鹽中與各種肽組合合併以展示聚-ICLC與包含濃度小於1.0 mM之pH調節劑的本發明調配物相容。Example 3 demonstrates that the composition of the present invention is compatible with poly-ICLC (poly ICLC) (an RNA-based immunostimulant). Although a lower succinate concentration is a suitable universal formulation for peptide solubility, it is assumed that it may not be compatible with poly-ICLC because the peptide in the lower succinate concentration has a pH of 3.2 to 4.0 and Poly-ICLC may precipitate when combined with lower pH peptide solutions. The approximate pKa of the phosphate group in the RNA is 2 and the polyICLC already exists in the form of a cloudy suspension; therefore, it is possible that the lower pH of the formulation may cause the polyICLC to further precipitate or aggregate. Therefore, polyICLC was combined with various peptides in 5 mM, 0.50 mM, and 0.25 mM succinate to demonstrate that poly-ICLC is compatible with the formulations of the present invention that include a pH adjuster at a concentration of less than 1.0 mM.

此實驗之所有pH值用Mettler Toledo之pH/離子實驗台計量器S220-B及pH inLab微探針量測,其在即將使用之前用pH 4.0、7.0及10.0標準物校準。所有樣品在與聚-ICLC合併之後均保存在室溫下以使得所有可能的沈澱出現。在使用之前將肽及聚-ICLC升溫至室溫。在此時間期間如上文所描述製備50 mg/ml之DMSO儲備液且藉由添加10 μL肽儲備液至240 μL於D5W中之丁二酸鹽緩衝劑來稀釋至2 mg/ml。藉由合併100 μL 5種指定肽中之每一種集合肽。將集合體與聚-ICLC以肽集合體:聚-ICLC 2:1 (200 μL肽組合與100 μL聚-ICLC)之比率混合。All pH values for this experiment were measured with Mettler Toledo's pH/ion laboratory bench gauge S220-B and pH inLab microprobes, which were calibrated with pH 4.0, 7.0 and 10.0 standards immediately before use. All samples were stored at room temperature after being combined with poly-ICLC so that all possible precipitation appeared. Warm the peptide and poly-ICLC to room temperature before use. During this time a 50 mg/ml DMSO stock solution was prepared as described above and diluted to 2 mg/ml by adding 10 μL peptide stock solution to 240 μL succinate buffer in D5W. Collect peptides by combining 100 μL of each of the 5 specified peptides. The aggregate and poly-ICLC were mixed at a ratio of peptide aggregate: poly-ICLC 2:1 (200 μL peptide combination to 100 μL poly-ICLC).

在可溶於5 mM丁二酸鹽的肽之組合與可溶於0.5 mM丁二酸鹽及0.25 mM丁二酸鹽的相同肽之組合之間進行比較。個別及經合併之肽之pH值在將其與聚-ICLC以肽集合體:聚-ICLC 2:1比率混合之前量測。所得溶液具有與混濁懸浮液類似之外觀(圖像參見圖3),且當聚-ICLC與各種肽集合體合併時未出現沈澱增多。重要地,不可溶於含有約5.0 mM丁二酸鹽之調配物的肽集合體亦在0.25 mM及0.5 mM丁二酸鹽下測試且當與聚-ICLC合併時保持可溶。另外,對於0.25 mM丁二酸鹽pH一致地達到大致4.80且對於0.5 mM丁二酸鹽大致5.20,兩個值均在用於皮下注射必需之範圍內(表6)。實例2展現使用等於或低於0.75 mM之丁二酸鈉濃度將最大化溶解度合格的肽之數目同時保持與聚-ICLC相容。A comparison was made between a combination of peptides soluble in 5 mM succinate and a combination of the same peptide soluble in 0.5 mM succinate and 0.25 mM succinate. The pH values of the individual and combined peptides were measured before they were mixed with poly-ICLC in the ratio of peptide aggregate: poly-ICLC 2:1. The resulting solution had a similar appearance to a cloudy suspension (see Figure 3 for an image), and no increase in precipitation occurred when poly-ICLC was combined with various peptide aggregates. Importantly, peptide aggregates insoluble in formulations containing about 5.0 mM succinate were also tested at 0.25 mM and 0.5 mM succinate and remained soluble when combined with poly-ICLC. In addition, for 0.25 mM succinate the pH consistently reached approximately 4.80 and for 0.5 mM succinate approximately 5.20, both values were within the range necessary for subcutaneous injection (Table 6). Example 2 demonstrates that using a sodium succinate concentration equal to or lower than 0.75 mM will maximize the number of peptides that are qualified for solubility while remaining compatible with poly-ICLC.

6 :可溶於5 mM、0.5 mM及0.25 mM丁二酸鹽之個別及經合併之肽的pH值

Figure 108113861-A0304-0006
*聚-ICLC之pH量測為7.23實例 4 :合成 GATA3 neoORF 肽之溶解度試驗 Table 6 : pH values of individual and combined peptides soluble in 5 mM, 0.5 mM and 0.25 mM succinate
Figure 108113861-A0304-0006
*The pH measurement of poly-ICLC is 7.23 Example 4 : Solubility test of synthetic GATA3 neoORF peptide

下表7中各肽之溶解度在各種指定溶液中測試。 SS = 丁二酸鈉六水合物。所測試之調配物A包括4% DMSO、5 mM丁二酸鈉六水合物(SS)/D5W。所測試之調配物B不包括DMSO,包括5 mM SS/D5W。所測試之調配物C不包括DMSO,包括0.25 mM SS/D5W。合成含有兩個半胱胺酸之33mer L15係使用假脯胺酸二肽構築嵌段合併ES、AT至序列中來進行。假脯胺酸藉由在固相胜肽合成期間防止凝聚增加L15之粗產物純度,其使得L15純化至95%純度。The solubility of each peptide in Table 7 below was tested in various specified solutions. SS = sodium succinate hexahydrate. Formulation A tested included 4% DMSO, 5 mM sodium succinate hexahydrate (SS)/D5W. Formulation B tested did not include DMSO, including 5 mM SS/D5W. Formulation C tested did not include DMSO, including 0.25 mM SS/D5W. The synthesis of 33mer L15 containing two cysteines was carried out using pseudoproline dipeptide building blocks and combining ES and AT into the sequence. Pseudoproline increases the purity of the crude product of L15 by preventing aggregation during solid-phase peptide synthesis, which allows L15 to be purified to 95% purity.

7 :肽可溶性

Figure 108113861-A0304-0007
實例 5 - 設計用於向受試者投與之合成 GATA3 neoORF 肽之集合體 Table 7 : Peptide solubility
Figure 108113861-A0304-0007
Example 5 - An assembly designed to synthesize GATA3 neoORF peptides for administration to subjects

各種指定GATA3肽之集合體係根據下表8設計。舉例而言,「設計1」含有三個肽集合體,其中集合體1含有三種肽(亦即L7、L8及L14),集合體2含有兩種肽(亦即L9及L10c)及集合體3含有兩種肽(亦即L15及L11f)。舉例而言,「設計6」含有兩個肽集合體,其中集合體1含有四種肽(亦即L7、L8、L9及L14)及集合體2含有兩種肽(亦即L15及L11f)。舉例而言,「設計10」含有四個肽集合體,其中集合體1含有五種肽(亦即L7、L8、L9、L10c及L14),集合體2含有一種肽(亦即L15),集合體3含有一種肽(亦即L11f)及集合體4含有一種肽(亦即L11i)。集合體中各肽之濃度可根據熟習製備肽調配物之技術者改變。 8 :GATA3集合體設計之描述

Figure 108113861-A0304-0008
實例 6 - GATA3 neoORF 肽合成 The collection system of various designated GATA3 peptides is designed according to Table 8 below. For example, "Design 1" contains three peptide aggregates, where aggregate 1 contains three peptides (that is, L7, L8, and L14), and aggregate 2 contains two peptides (that is, L9 and L10c) and aggregate 3 Contains two peptides (that is, L15 and L11f). For example, "Design 6" contains two peptide aggregates, where aggregate 1 contains four peptides (ie, L7, L8, L9, and L14) and aggregate 2 contains two peptides (ie, L15 and L11f). For example, "Design 10" contains four peptide aggregates, in which aggregate 1 contains five peptides (that is, L7, L8, L9, L10c, and L14), and aggregate 2 contains one peptide (that is, L15), and Body 3 contains a peptide (ie L11f) and assembly 4 contains a peptide (ie L11i). The concentration of each peptide in the pool can be changed according to those skilled in the preparation of peptide formulations. Table 8 : Description of GATA3 aggregate design
Figure 108113861-A0304-0008
Example 6 - GATA3 neoORF peptide synthesis

用650 mg粗材料之靶向物進行習知合成。以下具有適當側鏈保護之Fmoc-胺基酸用於構建L7肽(EPCSMLTGPPARVPAVPFDLH (SEQ ID NO: 42)):Fmoc-Ala-OH∙H2 O、Fmoc-Cys(Trt)-OH、Fmoc-Asp(OtBu)-OH、Fmoc-Glu(OtBu)-OH、Fmoc-Gly-OH、Fmoc-Leu-OH、Fmoc-Met-OH、Fmoc-Pro-OH、Fmoc-Arg(Pbf)-OH、Fmoc-Ser(tBu)-OH、Fmoc-Thr(tBu)-OH及Fmoc-Val-OH。藉由使用H-His(Trt)-2Cl-Trt樹脂或Fmoc-His(Trt)-Wang (LL)樹脂預負載至樹脂上將C-末端組胺酸併入至序列中。可使用Fmoc-Asp(OMpe)-OH替代Fmoc-Asp(OtBu)-OH以幫助改良合成,諸如用「DG」之序列組合以最小化天冬醯胺形成。Conventional synthesis was performed with 650 mg of crude material target. The following Fmoc-amino acids with appropriate side chain protection are used to construct the L7 peptide (EPCSMLTGPPARVPAVPFDLH (SEQ ID NO: 42)): Fmoc-Ala-OH∙H 2 O, Fmoc-Cys(Trt)-OH, Fmoc-Asp (OtBu)-OH, Fmoc-Glu(OtBu)-OH, Fmoc-Gly-OH, Fmoc-Leu-OH, Fmoc-Met-OH, Fmoc-Pro-OH, Fmoc-Arg(Pbf)-OH, Fmoc- Ser(tBu)-OH, Fmoc-Thr(tBu)-OH and Fmoc-Val-OH. The C-terminal histidine is incorporated into the sequence by using H-His(Trt)-2Cl-Trt resin or Fmoc-His(Trt)-Wang (LL) resin preloaded on the resin. Fmoc-Asp(OMpe)-OH can be used instead of Fmoc-Asp(OtBu)-OH to help improve the synthesis, such as the combination of sequences with "DG" to minimize asparagine formation.

肽序列用二甲基甲醯胺(DMF)溶脹且瀝乾兩次。用使用20%於DMF中之哌啶用氮氣施配以混合來去保護N-α-FMOC保護基開始合成。在瀝乾之後,樹脂用DMF洗滌。接著,歷時20分鐘添加6 mL 0.4 M胺基酸溶液以及5.8 mL 0.4 M HCTU及6 mL 0.8 M DIEA。用氮氣施配混合來執行偶合反應,然後瀝乾反應容器(RV)。對於二次偶合循環用與第一偶合步驟相同之混合及瀝乾參數重複胺基酸、HCTU及DIEA添加。隨後用DMF再次洗滌樹脂。對於每個胺基酸殘基重複此循環。最終去保護方法經由20%於DMF中之哌啶移除N-末端Fmoc,且將樹脂用DMF洗滌然後用MeOH洗滌。樹脂在儀器上在氮氣下直至移除。The peptide sequence was swollen with dimethylformamide (DMF) and drained twice. The synthesis was started by using 20% piperidine in DMF and mixing with nitrogen to mix to deprotect the N-α-FMOC protecting group. After draining, the resin was washed with DMF. Next, 6 mL of 0.4 M amino acid solution and 5.8 mL of 0.4 M HCTU and 6 mL of 0.8 M DIEA were added over 20 minutes. The coupling reaction is performed with nitrogen-dispensing mixing, and then the reaction vessel (RV) is drained. Repeat the amino acid, HCTU, and DIEA additions for the second coupling cycle with the same mixing and draining parameters as the first coupling step. The resin was then washed again with DMF. This cycle is repeated for each amino acid residue. The final deprotection method removes the N-terminal Fmoc via 20% piperidine in DMF, and the resin is washed with DMF and then MeOH. The resin was removed under nitrogen on the instrument.

對於微波合成,使用相同的Fmoc-胺基酸起始材料,其中僅利用Fmoc-His(Trt)-Wang (LL)樹脂(而非H-His(Trt)-2ClTrt樹脂)來併入C-末端組胺酸。For microwave synthesis, the same Fmoc-amino acid starting material is used, in which only the Fmoc-His(Trt)-Wang (LL) resin (not the H-His(Trt)-2ClTrt resin) is used to incorporate the C-terminal Histidine.

在微波合成器上,使樹脂在DMF中溶脹直至將其經過HT線轉移至微波反應容器(RV)。在RV中時,在85℃/90W下隨後在100℃/20W下將Fmoc-His(Trt)-OH負載樹脂用25%於DMF中之吡咯啶處理以移除N-α-FMOC。接著,將RV瀝乾且用DMF洗滌,並再次瀝乾。將程式化Fmoc-胺基酸(0.5 M於DMF中)以及4 M DIC及0.25 M Oxymapure添加至RV。此偶合反應跟隨105℃/288W加熱,然後105℃/73W加熱。此第一次去保護首先用DMF稀釋,然而任何後續去保護不需要此步驟,因為RV已含有來自偶合反應之DMF。對於各殘基重複去保護、洗滌及偶合循環直至已合成肽。對於精胺酸殘基,進行二次偶合步驟,其中在進行單一偶合之後瀝乾溶液,且在進行至去保護之前重複偶合步驟。除在經由DMF轉移回至原始HT樹脂位置之前瀝乾及用DMF洗滌兩次以外如上文進行N-末端Fmoc基團之最終去保護。On the microwave synthesizer, the resin was swelled in DMF until it was transferred to the microwave reaction vessel (RV) through the HT line. While in RV, the Fmoc-His(Trt)-OH supported resin was treated with 25% pyrrolidine in DMF at 85°C/90W followed by 100°C/20W to remove N-α-FMOC. Next, the RV was drained and washed with DMF, and drained again. Stylized Fmoc-amino acid (0.5 M in DMF) and 4 M DIC and 0.25 M Oxymapure were added to the RV. This coupling reaction is followed by heating at 105°C/288W, then heating at 105°C/73W. This first deprotection is first diluted with DMF, however any subsequent deprotection does not require this step because RV already contains DMF from the coupling reaction. The deprotection, washing and coupling cycles are repeated for each residue until the peptide has been synthesized. For arginine residues, a second coupling step is performed, where the solution is drained after a single coupling is performed, and the coupling step is repeated before proceeding to deprotection. The final deprotection of the N-terminal Fmoc group was performed as above except that it was drained and washed twice with DMF before being transferred back to the original HT resin location via DMF.

在合成之後,使用DMF將樹脂轉移至燒結注射器、用MeOH淋洗且使用真空集管乾燥。隨後在室溫下使用試劑K (82.5%三氟乙酸(TFA)、5%水、5%苯硫基甲烷、5%苯酚及2.5%乙二硫醇)使用立式固持器在振動振盪器上持續三小時使樹脂分裂。After synthesis, the resin was transferred to a sintered syringe using DMF, rinsed with MeOH and dried using a vacuum header. Then use reagent K (82.5% trifluoroacetic acid (TFA), 5% water, 5% thioanisole, 5% phenol and 2.5% ethanedithiol) at room temperature using a vertical holder on the vibrating oscillator Continue for three hours to split the resin.

隨後經由燒結過濾注射器將分裂混合液施配至冷乙醚或冷甲基第三丁基醚(MTBE)中。隨後用95:5三氟乙酸:水溶液藉由攪動沖洗各注射器。隨後將沖洗液添加至混合液/醚混合物之其餘部分。隨後將混合物離心。在傾析醚之後,添加另一冷醚洗液。使容器渦旋且再次離心。重複此以充分沖洗丸粒。傾析最終洗液且經由真空乾燥器乾燥丸粒。將丸粒樣品溶解於溶劑(例如DMSO、DMF、水或乙腈)中且經由UPLC-MS分析同一性、粗產物純度及滯留時間。以類似方式使用胺基酸及對彼等序列具特異性之預負載樹脂製成其他肽,例如L14 (SMLTGPPARVPAVPFDLH (SEQ ID NO: 43))、L8 (GPPARVPAVPFDLHFCRSSIMKPKRD (SEQ ID NO: 44))、L10c (KPKRDGYMFLKAESKI (SEQ ID NO: 59))、L11h (FLKAESKIMFATLQR (SEQ ID NO: 63))及L11i (ESKIMFATLQRSSL (SEQ ID NO: 64))。實例 7 - GATA3 neoORF 肽合成 The split mixture is then dispensed into cold ether or cold methyl tert-butyl ether (MTBE) via a sintered filter syringe. Subsequently, each syringe was rinsed with 95:5 trifluoroacetic acid:water solution by stirring. The rinse solution is then added to the rest of the mixture/ether mixture. The mixture is then centrifuged. After decanting the ether, another cold ether wash was added. The container was vortexed and centrifuged again. Repeat this to fully rinse the pellets. Decant the final wash and dry the pellets via a vacuum dryer. The pellet samples were dissolved in solvents (eg DMSO, DMF, water or acetonitrile) and analyzed via UPLC-MS for identity, crude product purity and residence time. In a similar manner, other peptides are made using amino acids and preloaded resins specific to their sequences, such as L14 (SMLTGPPARVPAVPFDLH (SEQ ID NO: 43)), L8 (GPPARVPAVPFDLHFCRSSIMKPKRD (SEQ ID NO: 44)), L10c (KPKRDGYMFLKAESKI (SEQ ID NO: 59)), L11h (FLKAESKIMFATLQR (SEQ ID NO: 63)) and L11i (ESKIMFATLQRSSL (SEQ ID NO: 64)). Example 7 - GATA3 neoORF peptide synthesis

以下Fmoc-胺基酸用於合成肽L15 (KPKRDGYMFLKAESKIMFATLQRSSLWCLCSNH (SEQ ID NO: 67)):Fmoc-Ala-OH∙H2 O、Fmoc-Cys(Trt)-OH、Fmoc-Asp(OtBu)-OH、Fmoc-Glu(OtBu)-OH、Fmoc-Phe-OH、Fmoc-Gly-OH、Fmoc-Ile-OH、Fmoc-Lys(Boc)-OH、Fmoc-Leu-OH、Fmoc-Met-OH、Fmoc-Asn(Trt)-OH、Fmoc-Pro-OH、Fmoc-Gln(Trt)-OH、Fmoc-Arg(Pbf)-OH、Fmoc-Ser(tBu)-OH、Fmoc-Thr(tBu)-OH、Fmoc-Trp(Boc)-OH及Fmoc-Tyr(tBu)-OH。藉由使用H-His(Trt)-2Cl-Trt樹脂或Fmoc-His(Trt)-Wang (LL)樹脂預負載至樹脂上將C-末端組胺酸併入至序列中。可使用Fmoc-Asp(OMpe)-OH替代Fmoc-Asp(OtBu)-OH以幫助改良合成,諸如用「DG」之序列組合以最小化天冬醯胺形成。當存在絲胺酸(Ser,S)及蘇氨酸(Thr,T)殘基時,併入胺基酸二肽(假脯胺酸)以提高合成產率,諸如Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH替代「SS」,Fmoc-Ala-Thr(psi(Me,Me)pro)-OH替代「AT」及Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH替代「ES」。對於一些L15合成,使用全部三種假脯胺酸(亦即Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH替代「SS」,Fmoc-Ala-Thr(psi(Me,Me)pro)-OH替代「AT」及Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH)替代「ES」)之組合。對於其他L15合成,分別使用以下假脯胺酸及假脯胺酸組合:Fmoc-Ala-Thr(psi(Me,Me)pro)-OH替代「AT」及Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH替代「ES」;Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH替代「SS」及Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH替代「ES」;Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH替代「SS」及Fmoc-Ala-Thr(psi(Me,Me)pro)-OH替代「AT」;Fmoc-Ala-Thr(psi(Me,Me)pro)-OH替代「AT」;Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH)替代「ES」;及Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH替代「SS」。The following Fmoc-amino acids are used to synthesize peptide L15 (KPKRDGYMFLKAESKIMFATLQRSSLWCLCSNH (SEQ ID NO: 67)): Fmoc-Ala-OH∙H 2 O, Fmoc-Cys(Trt)-OH, Fmoc-Asp(OtBu)-OH, Fmoc-Glu(OtBu)-OH, Fmoc-Phe-OH, Fmoc-Gly-OH, Fmoc-Ile-OH, Fmoc-Lys(Boc)-OH, Fmoc-Leu-OH, Fmoc-Met-OH, Fmoc- Asn(Trt)-OH, Fmoc-Pro-OH, Fmoc-Gln(Trt)-OH, Fmoc-Arg(Pbf)-OH, Fmoc-Ser(tBu)-OH, Fmoc-Thr(tBu)-OH, Fmoc -Trp(Boc)-OH and Fmoc-Tyr(tBu)-OH. The C-terminal histidine is incorporated into the sequence by using H-His(Trt)-2Cl-Trt resin or Fmoc-His(Trt)-Wang (LL) resin preloaded on the resin. Fmoc-Asp(OMpe)-OH can be used instead of Fmoc-Asp(OtBu)-OH to help improve the synthesis, such as the combination of sequences with "DG" to minimize asparagine formation. When serine (Ser, S) and threonine (Thr, T) residues are present, amino acid dipeptides (pseudoproline) are incorporated to increase synthetic yields, such as Fmoc-Ser(tBu)- Ser(psi(Me,Me)pro)-OH replaces "SS", Fmoc-Ala-Thr(psi(Me,Me)pro)-OH replaces "AT" and Fmoc-Glu(OtBu)-Ser(psi(Me ,Me)pro)-OH instead of "ES". For some L15 synthesis, use all three pseudoproline (ie Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH instead of "SS", Fmoc-Ala-Thr(psi(Me,Me )pro)-OH instead of "AT" and Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH) instead of "ES"). For other L15 synthesis, the following pseudoproline and pseudoproline combination are used: Fmoc-Ala-Thr(psi(Me,Me)pro)-OH instead of "AT" and Fmoc-Glu(OtBu)-Ser(psi (Me,Me)pro)-OH replaces "ES"; Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH replaces "SS" and Fmoc-Glu(OtBu)-Ser(psi(Me ,Me)pro)-OH replaces "ES"; Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH replaces "SS" and Fmoc-Ala-Thr(psi(Me,Me)pro) -OH replaces "AT"; Fmoc-Ala-Thr(psi(Me,Me)pro)-OH replaces "AT"; Fmoc-Glu(OtBu)-Ser(psi(Me,Me)pro)-OH) replaces "ES"; and Fmoc-Ser(tBu)-Ser(psi(Me,Me)pro)-OH instead of "SS".

肽序列用DMF溶脹且瀝乾兩次。用使用20%於DMF中之哌啶用氮氣施配以混合來去保護N-α-FMOC基團開始合成。在瀝乾之後,樹脂用DMF洗滌。接著,添加6 mL 0.4 M胺基酸溶液以及5.8 mL 0.4 M HCTU及6 mL 0.8 M DIEA。用氮氣施配混合來進行偶合反應,然後瀝乾反應容器(RV)。對於二次偶合循環用與第一偶合步驟相同之混合及瀝乾參數重複胺基酸、HCTU及DIEA添加。隨後用DMF再次洗滌樹脂。對於每個胺基酸殘基重複此循環。最終去保護方法經由20%於DMF中之哌啶移除N-末端Fmoc,且將樹脂用DMF洗滌然後用MeOH洗滌。樹脂在儀器上在氮氣覆蓋下直至移除。對於微波合成,使用相同的胺基酸起始材料,其中僅利用Fmoc-His(Trt)-Wang (LL)樹脂(而非H-His(Trt)-2ClTrt樹脂)來併入C-末端組胺酸。The peptide sequence was swollen with DMF and drained twice. The synthesis was started by using 20% piperidine in DMF to mix with nitrogen to mix to deprotect the N-α-FMOC group. After draining, the resin was washed with DMF. Next, 6 mL of 0.4 M amino acid solution and 5.8 mL of 0.4 M HCTU and 6 mL of 0.8 M DIEA were added. The coupling reaction was carried out with nitrogen-dispensing mixing and then the reaction vessel (RV) was drained. Repeat the amino acid, HCTU, and DIEA additions for the second coupling cycle with the same mixing and draining parameters as the first coupling step. The resin was then washed again with DMF. This cycle is repeated for each amino acid residue. The final deprotection method removes the N-terminal Fmoc via 20% piperidine in DMF, and the resin is washed with DMF and then MeOH. The resin was covered on the instrument under nitrogen until it was removed. For microwave synthesis, the same amino acid starting material is used, where only Fmoc-His(Trt)-Wang (LL) resin (not H-His(Trt)-2ClTrt resin) is used to incorporate C-terminal histamine acid.

在微波合成器上,使樹脂在DMF中溶脹直至將其經過HT線轉移至微波反應容器(RV)。在RV中時,在85℃/90W下隨後在100℃/20W下將Fmoc-His(Trt)負載樹脂用25%於DMF中之吡咯啶處理以移除N-α-FMOC。此第一次去保護首先用DMF稀釋;然而任何後續去保護不需要此步驟,因為RV已含有來自偶合反應之DMF。接著將RV瀝乾且用DMF洗滌,並再次瀝乾。隨後將程式化Fmoc-胺基酸(0.5 M於DMF中)以及4 M DIC及0.25 M Oxymapure添加至RV。此偶合反應跟隨105℃/288W加熱,然後105℃/73W加熱。對於各殘基重複去保護、洗滌及偶合循環直至已合成肽。對於精胺酸殘基,存在二次偶合步驟,其中在進行單一偶合之後瀝乾溶液,且在進行至去保護之前重複偶合步驟。除在經由DMF轉移回至原始HT樹脂位置之前瀝乾及用DMF洗滌兩次以外與所有其他去保護步驟相同進行N-末端Fmoc基團之最終去保護。On the microwave synthesizer, the resin was swelled in DMF until it was transferred to the microwave reaction vessel (RV) through the HT line. While in RV, Fmoc-His(Trt) loaded resin was treated with 25% pyrrolidine in DMF at 85°C/90W followed by 100°C/20W to remove N-α-FMOC. This first deprotection is first diluted with DMF; however, any subsequent deprotection does not require this step because RV already contains DMF from the coupling reaction. The RV was then drained and washed with DMF, and drained again. The stylized Fmoc-amino acid (0.5 M in DMF) and 4 M DIC and 0.25 M Oxymapure were then added to the RV. This coupling reaction is followed by heating at 105°C/288W, then heating at 105°C/73W. The deprotection, washing and coupling cycles are repeated for each residue until the peptide has been synthesized. For arginine residues, there is a second coupling step, where the solution is drained after a single coupling is performed, and the coupling step is repeated before proceeding to deprotection. The final deprotection of the N-terminal Fmoc group was performed in the same way as all other deprotection steps except that it was drained and washed twice with DMF before being transferred back to the original HT resin location via DMF.

在合成之後,使用DMF將樹脂轉移至燒結注射器、用MeOH沖洗且使用真空集管乾燥。隨後在室溫下使用試劑K (82.5%三氟乙酸(TFA)、5%水、5%苯硫基甲烷、5%苯酚及2.5%乙二硫醇)使用立式固持器在振動振盪器上使樹脂分裂。After synthesis, the resin was transferred to a sintered syringe using DMF, rinsed with MeOH and dried using a vacuum header. Then use reagent K (82.5% trifluoroacetic acid (TFA), 5% water, 5% thioanisole, 5% phenol and 2.5% ethanedithiol) at room temperature using a vertical holder on the vibrating oscillator Split the resin.

隨後經由燒結過濾注射器將分裂混合液施配至冷乙醚(或冷MTBE)中。隨後用95:5三氟乙酸:水溶液藉由攪動沖洗各注射器。隨後將沖洗液添加至混合液/醚混合物之其餘部分。隨後將混合物離心。在傾析醚之後,添加另一冷醚洗液。使容器渦旋且再次離心。重複此以充分沖洗丸粒。傾析最終洗液且經由真空乾燥器乾燥丸粒。將丸粒樣品溶解於溶劑(例如DMSO、DMF、水或乙腈)中且經由UPLC-MS分析同一性、粗產物純度及滯留時間。The split mixture is then dispensed into cold ether (or cold MTBE) via a sintered filter syringe. Subsequently, each syringe was rinsed with 95:5 trifluoroacetic acid:water solution by stirring. The rinse solution is then added to the rest of the mixture/ether mixture. The mixture is then centrifuged. After decanting the ether, another cold ether wash was added. The container was vortexed and centrifuged again. Repeat this to fully rinse the pellets. Decant the final wash and dry the pellets via a vacuum dryer. The pellet samples were dissolved in solvents (eg DMSO, DMF, water or acetonitrile) and analyzed via UPLC-MS for identity, crude product purity and residence time.

以類似方式使用胺基酸及對彼等序列具特異性之預負載樹脂以及假脯胺酸衍生物(當存在絲胺酸(Ser,S)或蘇氨酸(Thr,T)殘基時)及如上文所描述的Fmoc-Asp(OMpe)-OH製成其他肽,例如L9 (LHFCRSSIMKPKRDGYMFLKAESKI (SEQ ID NO: 45))。實例 8 - 溶解度研究 Use amino acids and preloaded resins and pseudoproline derivatives specific for their sequences in a similar manner (when serine (Ser, S) or threonine (Thr, T) residues are present) And Fmoc-Asp(OMpe)-OH as described above makes other peptides, such as L9 (LHFCRSSIMKPKRDGYMFLKAESKI (SEQ ID NO: 45)). Example 8 - Solubility study

首先使用含有4% DMSO之5 mM於D5W中之丁二酸鈉(SS)測試多種具有新抗原決定基的GATA3肽之溶解度。基於初始結果藉由調整丁二酸鈉(SS)濃度及DMSO量改良調配策略,其導致對7種肽之選擇。針對溶解度及與聚ICLC之相容性確定此等肽之集合策略。基於此等結果,選擇三個集合體。在0.25 mM SS/D5W中的兩個各僅具有一種肽之集合體及在5 mM SS/D5W中的具有5種肽之第三集合體。在與聚ICLC合併之後集合體之pH全部為pH 5.0至6.0且在過濾期間存在極小損失。First, the solubility of various GATA3 peptides with new epitopes was tested using 5 mM sodium succinate (SS) in D5W containing 4% DMSO. Based on the initial results, the formulation strategy was improved by adjusting the concentration of sodium succinate (SS) and the amount of DMSO, which led to the selection of seven peptides. The aggregation strategy of these peptides was determined for solubility and compatibility with polyICLC. Based on these results, three aggregates are selected. Two of the 0.25 mM SS/D5W each have an aggregate of only one peptide and a third aggregate of 5 peptides in 5 mM SS/D5W. After combining with the polyICLC, the pH of the aggregate was all pH 5.0 to 6.0 and there was very little loss during filtration.

經篩選用於以下研究之肽全部列於表9中。All peptides screened for the following studies are listed in Table 9.

9 肽序列

Figure 108113861-A0304-0009
Table 9 Peptide sequences
Figure 108113861-A0304-0009

所有緩衝劑均每日製備。藉由稱量右旋糖及添加超純水至右旋糖以達到適當體積來製備D5W。舉例而言,添加水至12.5 g右旋糖以達到250 mL之總體積。為藉由稱量製備50 mL 5 mM SS/D5W稱量67.54 mg SS並添加至D5W以達到50 mL總體積。為製備0.25 mM SS/D5W,將2.5 mL 5 mM SS/D5W用47.5 mL D5W稀釋。All buffers are prepared daily. D5W is prepared by weighing dextrose and adding ultrapure water to dextrose to achieve the appropriate volume. For example, add water to 12.5 g dextrose to reach a total volume of 250 mL. To prepare 50 mL of 5 mM SS/D5W by weighing 67.54 mg SS was weighed and added to D5W to reach a total volume of 50 mL. To prepare 0.25 mM SS/D5W, dilute 2.5 mL 5 mM SS/D5W with 47.5 mL D5W.

各肽之%肽含量確定如下:總理論TFA等於正電荷數量之總和(N末端、Arg、Lys及His)。將彼數量輸入至以下等式中,其中MW為肽之分子量: 方程式1. % TFA = 100 × ((%TFA× 114.02)/((%TFA× 114.02) + MW))The% peptide content of each peptide is determined as follows: The total theoretical TFA is equal to the sum of the number of positive charges (N-terminal, Arg, Lys, and His). Enter that number into the following equation, where MW is the molecular weight of the peptide: Equation 1.% TFA = 100 × ((%TFA× 114.02)/((%TFA× 114.02) + MW))

隨後將此值用於使用6.45%作為理論水含量來計算百分比肽含量: 方程式2. %肽= 100 - %TFA - 6.45%This value is then used to calculate the percentage peptide content using 6.45% as the theoretical water content: Equation 2.% peptide = 100-%TFA-6.45%

使用下文方程式計算此等實驗之靶向物總重量。 方程式3. 靶向物總重量= (13.2× 10000)/(%肽含量× %純度)The total weight of the target for these experiments was calculated using the equations below. Equation 3. Total weight of the target = (13.2×10000)/(% peptide content×% purity)

使用Mettler Toledo XP105 Delta Mass分析天平將肽稱量至15 mL或50 mL錐形管中,且記錄實際總重量並用於確定多少DMSO以得到50 mg/mL。下文展示計算: 方程式4. DMSO (μL) = (實際總重量(mg)×264 μL)/(靶向物總重量(mg))The peptide was weighed into a 15 mL or 50 mL conical tube using a Mettler Toledo XP105 Delta Mass analytical balance, and the actual total weight was recorded and used to determine how much DMSO to obtain 50 mg/mL. The calculations are shown below: Equation 4. DMSO (μL) = (Actual Total Weight (mg) × 264 μL)/(Total Target Weight (mg))

隨後在適當之調配物緩衝液中將儲備液稀釋至2 mg/mL (1份DMSO儲備液,24份緩衝液).The stock solution was then diluted to 2 mg/mL in an appropriate formulation buffer (1 part DMSO stock solution, 24 parts buffer).

如上文所描述計算肽重量及百分比含量且直接向肽添加適當之緩衝液。使用方程式3計算靶向物總重量及使用方程式5計算為獲得2 mg/mL肽所使用之緩衝液的體積。 方程式5.緩衝液(ml) = (實際總重量(mg) ×6.6 mL)/(靶向物總重量(mg))Calculate the peptide weight and percentage content as described above and add the appropriate buffer directly to the peptide. The total weight of the target was calculated using Equation 3 and the volume of buffer used to obtain 2 mg/mL peptide was calculated using Equation 5. Equation 5. Buffer (ml) = (Actual Total Weight (mg) × 6.6 mL)/(Total Target Weight (mg))

將肽用緩衝液進一步稀釋1:4以獲得0.4 mg/mL或僅當指定時直接向無水肽添加緩衝液以獲得0.4 mg/mL。在後一情況中,使用方程式6確定待添加的適當體積。 方程式6.緩衝液(ml) = (實際總重量(mg) ×33 mL)/(靶向物總重量(mg))The peptide was further diluted 1:4 with buffer to obtain 0.4 mg/mL or the buffer was directly added to the anhydrous peptide to obtain 0.4 mg/mL only when specified. In the latter case, Equation 6 is used to determine the appropriate volume to add. Equation 6. Buffer (ml) = (Actual Total Weight (mg) × 33 mL)/(Total Target Weight (mg))

藉由倒置錐形管且而不藉由音波處理或使其渦旋來溶解肽。The peptide was dissolved by inverting the conical tube and not by sonication or vortexing.

為集合5種肽,合併相等體積之各2 mg/mL儲備液以獲得0.4 mg/mL各肽。在具有少於5種肽之集合體之情形下,合併相等體積之肽隨後用適當的緩衝液稀釋溶液以獲得0.4 mg/mL之各肽。使集合體倒置3至5次以混合。將經調配肽轉移至玻璃瓶以觀察可溶性。每兩小時進行攝影以記錄任何外觀變化。To pool 5 peptides, equal volumes of 2 mg/mL stock solutions were combined to obtain 0.4 mg/mL of each peptide. In the case of pools with less than 5 peptides, equal volumes of peptides were combined and the solution was diluted with an appropriate buffer to obtain 0.4 mg/mL of each peptide. Invert the assembly 3 to 5 times to mix. Transfer the formulated peptide to a glass bottle to observe solubility. Take pictures every two hours to record any changes in appearance.

市售獲得聚ICLC。以肽比聚-ICLC 3:1之比率使用150 µL聚-ICLC與450 µL肽集合體在2 mL玻璃瓶中合併集合體。使溶液倒置3至5次以混合,且持續6小時每兩小時進行攝影以記錄任何外觀變化。所有pH量測係使用Mettler Toledo inLab Micro pH計量器進行,每日在使用之前校準該計量器。將所分析之100 µL樣品移除且添加至微型離心機管子以量測pH。隨後丟棄樣品。樣品經受UPLC-MS (具有Acquity QDa質譜儀之Waters Acquity H-Class)。使用8分鐘梯度自10:90溶劑A:B至50:50溶劑A:B (A:0.1% TFA/水,B:0.1% TFA:乙腈)重複分析各樣品之2 µL注射液。針對0.4 mg/mL及2 mg/mL下之各肽確定肽在標準調配物中之初始溶解度。儘管拍攝了像片,其未始終清楚地展示可溶性,因為凝膠通常為澄清的或當已溶解時肽維持小型玻璃狀顆粒。在含有4% DMSO之5 mM SS/D5W中之肽可溶性在表10中指示。Poly ICLC is commercially available. Combine 150 µL poly-ICLC and 450 µL peptide aggregates in a 2 mL glass vial at a ratio of peptide to poly-ICLC 3:1. The solution was inverted 3 to 5 times to mix, and photography was taken every two hours for 6 hours to record any changes in appearance. All pH measurements are performed using a Mettler Toledo inLab Micro pH meter, which is calibrated daily before use. The 100 µL sample analyzed was removed and added to the microcentrifuge tube to measure the pH. Then discard the sample. The sample was subjected to UPLC-MS (Waters Acquity H-Class with Acquity QDa mass spectrometer). Repeat the analysis of the 2 µL injection of each sample using an 8-minute gradient from 10:90 solvent A:B to 50:50 solvent A:B (A: 0.1% TFA/water, B: 0.1% TFA: acetonitrile). The initial solubility of the peptide in the standard formulation was determined for each peptide at 0.4 mg/mL and 2 mg/mL. Although photographs were taken, they did not always show solubility clearly because the gel was usually clear or the peptide maintained small glassy particles when it had dissolved. The peptide solubility in 5 mM SS/D5W containing 4% DMSO is indicated in Table 10.

10 .含有4% DMSO之5 mM SS/D5W中肽可溶性及觀測結果

Figure 108113861-A0304-0010
Table 10. Peptide solubility in 5 mM SS/D5W containing 4% DMSO and observation results
Figure 108113861-A0304-0010

不可溶於5 mM SS之肽使用含有4% DMSO之0.25 mM SS/D5W測試。結果概述於表11中。許多此等不可溶於5 mM SS之肽在6小時之後在0.4 mg/mL的濃度下可溶於含有4% DMSO之0.25 mM SS/D5W且在進一步研究中使用此較低SS濃度測試。Peptides insoluble in 5 mM SS were tested using 0.25 mM SS/D5W containing 4% DMSO. The results are summarized in Table 11. Many of these peptides insoluble in 5 mM SS were soluble in 0.25 mM SS/D5W containing 4% DMSO at a concentration of 0.4 mg/mL after 6 hours and this lower SS concentration test was used in further studies.

11 .含有4% DMSO之0.25 mM SS/D5W中肽可溶性及觀測結果

Figure 108113861-A0304-0011
Table 11. Peptide solubility in 0.25 mM SS/D5W containing 4% DMSO and observation results
Figure 108113861-A0304-0011

基於此等結果選擇肽L7、L8、L9、L14、L10c、L11d、L11f及L15用於調配物研究。測試不含DMSO之調配物作為提高經調配肽之穩定性及減緩含半胱胺酸之肽的二聚之方式。所有肽均在0.4 mg/mL之濃度下在0.25 mM SS中測試(L7、L8、L9、L14、L10c、L11d、L11f及L15)且在無DMSO之情況下在6小時之後可溶。肽L7、L8、L9、L10c、L12d及L14在5 mM SS中測試且在無DMSO之情況下在6小時之後亦可溶。於0.25 mM SS/D5W及5 mM SS/D5W中之肽調配物之pH值列於表12中。Based on these results, peptides L7, L8, L9, L14, L10c, L11d, L11f and L15 were selected for formulation studies. Testing DMSO-free formulations as a way to increase the stability of formulated peptides and slow the dimerization of cysteine-containing peptides. All peptides were tested in 0.25 mM SS (L7, L8, L9, L14, L10c, L11d, L11f and L15) at a concentration of 0.4 mg/mL and were soluble after 6 hours without DMSO. The peptides L7, L8, L9, L10c, L12d and L14 were tested in 5 mM SS and were soluble after 6 hours without DMSO. The pH values of the peptide formulations in 0.25 mM SS/D5W and 5 mM SS/D5W are listed in Table 12.

12 .於0.25 mM SS/D5W及5 mM SS/D5W中之0.4 mg/mL肽調配物之pH

Figure 108113861-A0304-0012
Table 12. pH of 0.4 mg/mL peptide formulation in 0.25 mM SS/D5W and 5 mM SS/D5W
Figure 108113861-A0304-0012

因為表11中所報告之肽全部可溶於0.25 mM SS,使用較低SS濃度研究初始集合體設計。亦考慮到將集合體設計成具有個別溶解度。因為L15及L11f可溶於低SS,將彼等兩種肽集合在一起。最初三個集合體設計展示於表13中。Because the peptides reported in Table 11 were all soluble in 0.25 mM SS, the initial SS design was studied using lower SS concentrations. It is also considered that the aggregate is designed to have individual solubility. Because L15 and L11f are soluble in low SS, these two peptides are brought together. The initial three aggregate designs are shown in Table 13.

13 .於0.25 mM SS/D5W中之初始肽集合體

Figure 108113861-A0304-0013
Table 13. Initial peptide pools in 0.25 mM SS/D5W
Figure 108113861-A0304-0013

在集合之後所有肽均保持可溶。在添加或不添加聚ICLC之情況下肽集合體之pH值提供於表14中。All peptides remained soluble after assembly. The pH values of the peptide aggregates with or without the addition of polyICLC are provided in Table 14.

14 .在添加或不添加聚ICLC之情況下來自表12之肽集合體的pH

Figure 108113861-A0304-0014
Table 14. pH of peptide aggregates from Table 12 with or without polyICLC
Figure 108113861-A0304-0014

隨後將來自各設計之集合體與聚ICLC混合以測試其與佐劑之相容性。當與聚ICLC合併時集合體3及每個含有肽L10c之集合體沈澱。另外,當與聚ICLC合併時具有3種肽之集合體具有低於5.0之pH,其表明當集合體含有超過兩種肽時緩衝能力應更高。The aggregates from each design were then mixed with poly ICLC to test their compatibility with adjuvants. When combined with poly ICLC, assembly 3 and each assembly containing peptide L10c precipitated. In addition, the pool with 3 peptides had a pH lower than 5.0 when combined with polyICLC, which indicates that the buffer capacity should be higher when the pool contains more than two peptides.

因為L7、L8、L9、L10c及L14全部可溶於5 mM SS,其在具有較高SS濃度之集合體中測試。用此等五種肽測試三個集合體。一個集合體不含L10c,一個僅具有L10c及第三個具有全部五種肽。因為L11f及L15在此更高濃度中不可溶,其在0.25 mM SS中調配。然而,由於觀測到沈澱其分開調配成0.4 mg/mL而非在單一集合體中。肽中之每一種均可溶於其相應調配物。基於目測及在集合體與聚ICLC合併之後pH值全部在5.0與6.3之間(表15)此等集合體亦與聚ICLC相容,其適合於皮下注射。Because L7, L8, L9, L10c, and L14 are all soluble in 5 mM SS, they were tested in aggregates with higher SS concentrations. Three aggregates were tested with these five peptides. One assembly does not contain L10c, one has only L10c and the third has all five peptides. Because L11f and L15 are insoluble in this higher concentration, they are formulated in 0.25 mM SS. However, due to the observed precipitation, it was separately formulated to 0.4 mg/mL rather than in a single aggregate. Each of the peptides is soluble in its corresponding formulation. Based on visual inspection and after the pool and polyICLC are combined, the pH is all between 5.0 and 6.3 (Table 15). These pools are also compatible with polyICLC, which is suitable for subcutaneous injection.

15 .不含聚ICLC之肽集合體之pH對比含聚ICLC之肽集合體之pH

Figure 108113861-A0304-0015
Table 15. pH of peptide aggregates without poly ICLC vs. pH of peptide aggregates with poly ICLC
Figure 108113861-A0304-0015

用各種丁二酸鹽濃度在無DMSO之情況下在D5W中測試肽L11i。在0.4 mg/mL下肽呈現可溶於所有濃度之SS。在2 mg/mL下在更高SS濃度中觀測到一些沈澱。當與聚ICLC合併時所有樣品看起來均相同。不含聚ICLC之2 mg/mL或0.4 mg/mL肽L11i於0.25 mM SS、0.5 mM SS或5 mM SS中的調配物及含聚ICLC之0.4 mg/mL肽L11i於0.25 mM SS、0.5 mM SS或5 mM SS中的調配物之pH值展示於表16中。The peptide L11i was tested in D5W with various succinate concentrations in the absence of DMSO. At 0.4 mg/mL, the peptide appeared soluble in all concentrations of SS. Some precipitation was observed at higher SS concentrations at 2 mg/mL. All samples looked the same when combined with poly ICLC. Formulation of 2 mg/mL or 0.4 mg/mL peptide L11i in 0.25 mM SS, 0.5 mM SS or 5 mM SS without poly ICLC and 0.4 mg/mL peptide L11i with poly ICLC in 0.25 mM SS, 0.5 mM The pH of the formulation in SS or 5 mM SS is shown in Table 16.

16 .不含聚ICLC之2 mg/mL或0.4 mg/mL L11i肽於0.25 mM SS、0.5 mM SS及5 mM SS中及含聚ICLC之0.4 mg/mL肽L11i於0.25 mM SS、0.5 mM SS及5 mM SS中之pH

Figure 108113861-A0304-0016
Table 16. 2 mg/mL or 0.4 mg/mL L11i peptides without poly ICLC in 0.25 mM SS, 0.5 mM SS and 5 mM SS and 0.4 mg/mL peptide L11i with poly ICLC in 0.25 mM SS, 0.5 mM PH in SS and 5 mM SS
Figure 108113861-A0304-0016

基於結果之定案集合體包括集合體1 (L7、L8、L9、L10c及L14於5 mM SS/D5W中)、集合體2 (L11i或L11f於0.25 mM SS/D5W中)及集合體3 (L15於0.25 mM SS/D5W中)。測試此等集合體中之每一種在來自Pall (HP1002)之0.2 µm過濾器上的保留率。藉由UPLC-MS分析預過濾樣品以及在2次過濾中之每一次之後的樣品。在第一次過濾步驟之後損失小於3%之L11f及L11i且在第二次過濾步驟之後未損失額外肽。在第一次過濾之後僅損失4.9% L15且隨後在第二次過濾之後損失1.3%。在兩個過濾步驟之後損失少於總共3%之集合體1中的各肽。結論 Finalized aggregates based on results include aggregate 1 (L7, L8, L9, L10c, and L14 in 5 mM SS/D5W), aggregate 2 (L11i or L11f in 0.25 mM SS/D5W), and aggregate 3 (L15 In 0.25 mM SS/D5W). Test the retention rate of each of these aggregates on a 0.2 µm filter from Pall (HP1002). The pre-filtered samples and the samples after each of the 2 filtrations were analyzed by UPLC-MS. Less than 3% of L11f and L11i are lost after the first filtration step and no additional peptide is lost after the second filtration step. Only 4.9% L15 was lost after the first filtration and then 1.3% was lost after the second filtration. Less than 3% of each peptide in aggregate 1 was lost after two filtration steps. in conclusion

測試一系列潛在的GATA3肽在含有含4% DMSO之5 mM SS/D5W的調配物緩衝液中之溶解度。亦在較低SS濃度中測試不可溶於5 mM SS之肽。基於此等結果選擇七種肽,其中五種可溶於5 mM SS (L7、L8、L9、L10c及L14)且其他可溶於較低濃度(L11f、L11i及L15)。亦測試DMSO之移除且可提高溶解度並減緩可使得UPLC分析更困難之二硫化物形成。在無DMSO之情況下所選擇之肽中之每一種均可溶。The solubility of a series of potential GATA3 peptides in a formulation buffer containing 5 mM SS/D5W containing 4% DMSO was tested. Peptides insoluble in 5 mM SS were also tested at lower SS concentrations. Based on these results, seven peptides were selected, five of which were soluble in 5 mM SS (L7, L8, L9, L10c, and L14) and others were soluble in lower concentrations (L11f, L11i, and L15). The removal of DMSO is also tested and can increase solubility and slow down disulfide formation which can make UPLC analysis more difficult. Each of the selected peptides is soluble without DMSO.

基於可溶性結果,使用0.25 mM SS/D5W生成3個集合體設計。儘管該等集合體可溶,但一些與聚-ICLC不相容。在一些個例中,當含有L10c之集合體與聚-ICLC混合時觀測到沈澱。當含有L11f及L15之集合體與聚-ICLC合併時得到相同觀測結果。基於此等結果,設計第四組集合體。第一集合體含有於5 mM SS/D5W中之L7、L8、L9、L10c及L14且與聚-ICLC相容。使肽L15及L11f或L11i保持為個別肽以藉由將其以0.4 mg/mL用0.25 mM SS/D5W直接溶解來製備。當與聚-ICLC混合時此等集合體均大於pH 5.0,其為用於皮下注射可接受的。Based on the solubility results, 3 aggregate designs were generated using 0.25 mM SS/D5W. Although these aggregates are soluble, some are not compatible with poly-ICLC. In some cases, precipitation was observed when the aggregate containing L10c was mixed with poly-ICLC. The same observation results were obtained when the aggregates containing L11f and L15 were combined with poly-ICLC. Based on these results, the fourth group of aggregates is designed. The first assembly contains L7, L8, L9, L10c and L14 in 5 mM SS/D5W and is compatible with poly-ICLC. The peptides L15 and L11f or L11i were kept as individual peptides to be prepared by directly dissolving them with 0.25 mM SS/D5W at 0.4 mg/mL. These aggregates are all greater than pH 5.0 when mixed with poly-ICLC, which is acceptable for subcutaneous injection.

儘管本文已展示及描述較佳實施例,但熟習此項技術者將顯而易知此等實施例僅作為實例提供。熟習此項技術者現將在不背離本發明之情況下想到許多變化、改變及取代。應理解,本文所描述之本發明實施例之各種替代方案可用於實踐本發明。以下申請專利範圍意欲界定本發明之範疇,且由此涵蓋此等申請專利範圍及其等效物之範疇內的方法及結構。Although the preferred embodiments have been shown and described herein, it will be apparent to those skilled in the art that these embodiments are provided as examples only. Those skilled in the art will now think of many changes, changes, and substitutions without departing from the invention. It should be understood that various alternatives to the embodiments of the invention described herein can be used to practice the invention. The following patent application scope is intended to define the scope of the present invention, and thus covers methods and structures within the scope of these patent applications and their equivalents.

本發明之新穎特徵詳細闡述於所附申請專利範圍中。參考闡述利用本發明之原理的說明性實施例及其隨附圖式的以下詳細描述將獲得對本發明之特徵及優勢的更佳理解:The novel features of the present invention are elaborated in the appended patent application. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description of illustrative embodiments that utilize the principles of the present invention and the accompanying drawings:

1 展示所有二十種可溶於丁二酸鹽濃度為5 mM之醫藥組合物的肽在丁二酸鹽濃度減小至0.75 mM、0.5 mM及0.25 mM時保持可溶。 Figure 1 shows that all twenty peptides soluble in a succinate concentration of 5 mM in the pharmaceutical composition remained soluble when the succinate concentration was reduced to 0.75 mM, 0.5 mM, and 0.25 mM.

2 展示二十種不可溶於丁二酸鹽濃度為5 mM之醫藥組合物的肽中之十四種在較低丁二酸鹽濃度下變得可溶。十四種在較低丁二酸鹽濃度下變得可溶之肽中,三種僅在丁二酸鹽濃度為約0.25 mM下可溶。 Figure 2 shows that fourteen of the twenty peptides insoluble in the pharmaceutical composition having a succinate concentration of 5 mM became soluble at lower succinate concentrations. Of the fourteen peptides that became soluble at a lower succinate concentration, three were soluble only at a succinate concentration of about 0.25 mM.

圖3展示包含三個不同丁二酸鹽濃度(5 mM、0.5 mM及0.25 mM)含有呈3:1比率之肽與聚-ICLC組合的醫藥組合物產生類似於單獨聚-ICLC之混濁懸浮液,且未產生聚-ICLC之核酸的沈澱。Figure 3 shows that a pharmaceutical composition containing three different succinate concentrations (5 mM, 0.5 mM, and 0.25 mM) containing a combination of peptide and poly-ICLC in a 3:1 ratio produces a cloudy suspension similar to poly-ICLC alone , And no precipitation of poly-ICLC nucleic acid.

4 展示繪製展示於圖2及圖3中及本文所描述之新抗原肽組之HYDRO及pI值的圖表。 Figure 4 shows a graph plotting the HYDRO and pI values of the neoantigen peptide set shown in Figures 2 and 3 and described herein.

5 展示繪製展示於圖2及圖3中及本文所描述之新抗原肽組之基於凱特-杜利特方法所計算的肽之疏水性及其pI值之圖表。 FIG. 5 shows a graph plotting the hydrophobicity and pI value of the peptides calculated based on the Kate-Dualit method shown in FIGS. 2 and 3 and the novel antigen peptide set described herein.

Figure 12_A0101_SEQ_0001
Figure 12_A0101_SEQ_0001

Figure 12_A0101_SEQ_0002
Figure 12_A0101_SEQ_0002

Figure 12_A0101_SEQ_0003
Figure 12_A0101_SEQ_0003

Figure 12_A0101_SEQ_0004
Figure 12_A0101_SEQ_0004

Figure 12_A0101_SEQ_0005
Figure 12_A0101_SEQ_0005

Figure 12_A0101_SEQ_0006
Figure 12_A0101_SEQ_0006

Figure 12_A0101_SEQ_0007
Figure 12_A0101_SEQ_0007

Figure 12_A0101_SEQ_0008
Figure 12_A0101_SEQ_0008

Figure 12_A0101_SEQ_0009
Figure 12_A0101_SEQ_0009

Figure 12_A0101_SEQ_0010
Figure 12_A0101_SEQ_0010

Figure 12_A0101_SEQ_0011
Figure 12_A0101_SEQ_0011

Figure 12_A0101_SEQ_0012
Figure 12_A0101_SEQ_0012

Figure 12_A0101_SEQ_0013
Figure 12_A0101_SEQ_0013

Figure 12_A0101_SEQ_0014
Figure 12_A0101_SEQ_0014

Figure 12_A0101_SEQ_0015
Figure 12_A0101_SEQ_0015

Figure 12_A0101_SEQ_0016
Figure 12_A0101_SEQ_0016

Figure 12_A0101_SEQ_0017
Figure 12_A0101_SEQ_0017

Figure 12_A0101_SEQ_0018
Figure 12_A0101_SEQ_0018

Claims (91)

一種醫藥組合物,其包含: (a) 一或多種新抗原肽或其醫藥學上可接受之鹽; (b) 以低於1.0 mM之濃度存在的pH調節劑;及 (c) 醫藥學上可接受之載劑。A pharmaceutical composition comprising: (a) One or more neoantigenic peptides or their pharmaceutically acceptable salts; (b) pH regulators present at a concentration of less than 1.0 mM; and (c) Pharmaceutically acceptable carriers. 如請求項1之醫藥組合物,其中該醫藥組合物為疫苗組合物。The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition is a vaccine composition. 如請求項1或請求項2之醫藥組合物,其中該醫藥組合物為水性。The pharmaceutical composition according to claim 1 or claim 2, wherein the pharmaceutical composition is aqueous. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 5及HYDRO < -6。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI>5 and HYDRO<-6. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 8及HYDRO > -8。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI>8 and HYDRO>-8. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI < 5及HYDRO > -5。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI <5 and HYDRO> -5. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 9及HYDRO < -8。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI>9 and HYDRO<-8. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 7及> -5.5之HYDRO值。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has a HYDRO value of pI> 7 and> -5.5. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI < 4.3及-4 ≤ HYDRO ≥ -8。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has pI <4.3 and -4 ≤ HYDRO ≥ -8. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 0及HYDRO < -8,pI > 0及HYDRO > -4,或pI > 4.3及-4 ≤ HYDRO ≥ -8。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI> 0 and HYDRO <-8, pI> 0 and HYDRO> -4, or pI> 4.3 and -4 ≤ HYDRO ≥ -8. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 0及HYDRO > -4,或pI > 4.3及HYDRO ≤ -4。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI> 0 and HYDRO> -4, or pI> 4.3 and HYDRO ≤ -4. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有pI > 0及HYDRO > -4,或pI > 4.3及-4 ≤ HYDRO ≥ -9。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has pI> 0 and HYDRO> -4, or pI> 4.3 and -4 ≤ HYDRO ≥ -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有5 ≤ pI ≥ 12及-4 ≤ HYDRO ≥ -9。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has 5 ≤ pI ≥ 12 and -4 ≤ HYDRO ≥ -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有5 ≤ pI ≥ 12及-6 ≤ HYDRO ≥ -9。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides has 5 ≤ pI ≥ 12 and -6 ≤ HYDRO ≥ -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有7.5 ≤ pI ≥ 12及-4 ≤ HYDRO ≥-9。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has 7.5 ≤ pI ≥ 12 and -4 ≤ HYDRO ≥-9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有5至6.5或7.5至12之pI及4 ≤HYDRO ≥ -9。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has a pI of 5 to 6.5 or 7.5 to 12 and 4 ≤HYDRO ≥ -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有5 ≤ pI ≥ 12且具有-4至-4.9或-5.8至-9之HYDRO。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has 5 ≤ pI ≥ 12 and has HYDRO of -4 to -4.9 or -5.8 to -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種具有5至6.5或7.5至12之pI且具有-4至-4.9或-5.8至-9之HYDRO。The pharmaceutical composition of claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has a pi of 5 to 6.5 or 7.5 to 12 and a HYDRO of -4 to -4.9 or -5.8 to -9. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種不可溶於相應醫藥組合物,該相應醫藥組合物含有濃度為1.0 mM或更高之pH調節劑。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigen peptides is insoluble in the corresponding pharmaceutical composition, and the corresponding pharmaceutical composition contains a pH adjusting agent at a concentration of 1.0 mM or higher. 如請求項1或2之醫藥組合物,其中該醫藥組合物包含至少兩種新抗原肽。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition comprises at least two neoantigen peptides. 如請求項1或2之醫藥組合物,其中該醫藥組合物包含至少三種新抗原肽。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition comprises at least three neoantigen peptides. 如請求項1或2之醫藥組合物,其中該醫藥組合物包含至少四種新抗原肽。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition comprises at least four neoantigen peptides. 如請求項1或2之醫藥組合物,其中該醫藥組合物包含至少五種新抗原肽。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition comprises at least five new antigen peptides. 如請求項1或2之醫藥組合物,其中該醫藥組合物包含至多40種新抗原肽。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition comprises at most 40 new antigen peptides. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之每一種可溶於該醫藥組合物。The pharmaceutical composition according to claim 1 or 2, wherein each of the one or more neoantigen peptides is soluble in the pharmaceutical composition. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之每一種包含6至50個胺基酸、6至45個胺基酸、6至40個胺基酸、6至35個胺基酸、6至30個胺基酸、6至25個胺基酸、6至20個胺基酸、8至50個胺基酸、8至45個胺基酸、8至40個胺基酸、8至35個胺基酸、8至30個胺基酸、8至25個胺基酸、8至20個胺基酸、14至50個胺基酸、14至45個胺基酸、14至40個胺基酸、14至35個胺基酸、14至30個胺基酸、14至27個胺基酸、14至25個胺基酸或14至20個胺基酸。The pharmaceutical composition according to claim 1 or 2, wherein each of the one or more neoantigenic peptides contains 6 to 50 amino acids, 6 to 45 amino acids, 6 to 40 amino acids, 6 to 35 amino acids, 6 to 30 amino acids, 6 to 25 amino acids, 6 to 20 amino acids, 8 to 50 amino acids, 8 to 45 amino acids, 8 to 40 amino acids Amino acids, 8 to 35 amino acids, 8 to 30 amino acids, 8 to 25 amino acids, 8 to 20 amino acids, 14 to 50 amino acids, 14 to 45 amino acids Acid, 14 to 40 amino acids, 14 to 35 amino acids, 14 to 30 amino acids, 14 to 27 amino acids, 14 to 25 amino acids, or 14 to 20 amino acids. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種包含14至30個胺基酸。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides contains 14 to 30 amino acids. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種之長度為少於15個胺基酸或更少,長度為7至11個胺基酸,或長度為8至10個胺基酸。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has a length of less than 15 amino acids or less, a length of 7 to 11 amino acids, or a length of 8 to 10 amino acids. 如請求項1或2之醫藥組合物,其中該一或多種新抗原肽中之至少一種之長度為40個胺基酸或更少,長度為6至25個胺基酸,長度為14至30個胺基酸,或長度為14至27個胺基酸。The pharmaceutical composition according to claim 1 or 2, wherein at least one of the one or more neoantigenic peptides has a length of 40 amino acids or less, a length of 6 to 25 amino acids, and a length of 14 to 30 Amino acids, or 14 to 27 amino acids in length. 如請求項1或2之醫藥組合物,其中該pH調節劑為鹼。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is a base. 如請求項1或2之醫藥組合物,其中該pH調節劑為弱酸之共軛鹼。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is a weak acid conjugate base. 如請求項1或2之醫藥組合物,其中該pH調節劑為醫藥學上可接受之鹽。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is a pharmaceutically acceptable salt. 如請求項1或2之醫藥組合物,其中該pH調節劑為二羧酸鹽或三羧酸鹽。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is a dicarboxylic acid salt or a tricarboxylic acid salt. 如請求項1或2之醫藥組合物,其中該pH調節劑為檸檬酸及/或檸檬酸鹽。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is citric acid and/or citrate. 如請求項34之醫藥組合物,其中該檸檬酸鹽為檸檬酸二鈉及/或檸檬酸三鈉。The pharmaceutical composition according to claim 34, wherein the citrate is disodium citrate and/or trisodium citrate. 如請求項1或2之醫藥組合物,其中該pH調節劑為丁二酸及/或丁二酸鹽。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is succinic acid and/or succinate. 如請求項36之醫藥組合物,其中該丁二酸鹽為丁二酸二鈉及/或丁二酸單鈉。The pharmaceutical composition according to claim 36, wherein the succinate salt is disodium succinate and/or monosodium succinate. 如請求項37之醫藥組合物,其中該丁二酸鹽為丁二酸二鈉六水合物。The pharmaceutical composition according to claim 37, wherein the succinate salt is disodium succinate hexahydrate. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.75 mM或更低之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.75 mM or lower. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.50 mM或更低之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.50 mM or less. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.25 mM或更低之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.25 mM or less. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.25 mM至1.0 mM之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.25 mM to 1.0 mM. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.50 mM至1.0 mM之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.50 mM to 1.0 mM. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.75 mM至1.0 mM之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.75 mM to 1.0 mM. 如請求項1或2之醫藥組合物,其中該pH調節劑以0.50 mM至0.75 mM之濃度存在。The pharmaceutical composition according to claim 1 or 2, wherein the pH adjusting agent is present at a concentration of 0.50 mM to 0.75 mM. 如請求項1或2之醫藥組合物,其中該醫藥學上可接受之載劑包含液體。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutically acceptable carrier contains a liquid. 如請求項1或2之醫藥組合物,其中該醫藥學上可接受之載劑包含水。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutically acceptable carrier comprises water. 如請求項1或2之醫藥組合物,其中該醫藥學上可接受之載劑包含糖。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutically acceptable carrier comprises sugar. 如請求項48之醫藥組合物,其中該糖包含右旋糖。The pharmaceutical composition according to claim 48, wherein the sugar comprises dextrose. 如請求項49之醫藥組合物,其中該右旋糖以5% w/v之濃度存在。The pharmaceutical composition of claim 49, wherein the dextrose is present at a concentration of 5% w/v. 如請求項48之醫藥組合物,其中該糖包含海藻糖。The pharmaceutical composition of claim 48, wherein the sugar comprises trehalose. 如請求項48之醫藥組合物,其中該糖包含蔗糖。The pharmaceutical composition according to claim 48, wherein the sugar comprises sucrose. 如請求項1或2之醫藥組合物,其中該醫藥學上可接受之載劑包含二甲亞碸(DMSO)。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutically acceptable carrier comprises dimethyl sulfoxide (DMSO). 如請求項53之醫藥組合物,其中該DMSO以0.1%至10%、0.5%至5%或1%至3%之濃度存在。The pharmaceutical composition of claim 53, wherein the DMSO is present at a concentration of 0.1% to 10%, 0.5% to 5%, or 1% to 3%. 如請求項1或2之醫藥組合物,其中該醫藥組合物為可凍乾。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition is lyophilizable. 如請求項1或2之醫藥組合物,其中該醫藥組合物進一步包含免疫調節劑或佐劑。The pharmaceutical composition according to claim 1 or 2, wherein the pharmaceutical composition further comprises an immunomodulator or adjuvant. 如請求項56之醫藥組合物,其中該免疫調節劑或佐劑係選自由以下組成之群:1018 ISS、鋁鹽、Amplivax、AS15、BCG、CP-870,893、CpG7909、CyaA、ARNAX、STING促效劑、dSLIM、GM-CSF、IC30、IC31、咪喹莫特(Imiquimod)、ImuFact IMP321、IS貼片、ISS、ISCOMATRIX、Juvlmmune、LipoVac、MF59、單磷醯基脂質A、Montanide IMS 1312、Montanide ISA 206、Montanide ISA 50V、Montanide ISA-51、OK-432、OM-174、OM-197-MP-EC、ONTAK、PepTel®、載體系統、PLGA微粒、雷西莫特(resiquimod)、SRL172、病毒顆粒及其他病毒樣顆粒、YF-17D、VEGF捕捉劑、R848、β-葡聚糖、Pam3Cys及Aquila之QS21刺激子。The pharmaceutical composition according to claim 56, wherein the immunomodulator or adjuvant is selected from the group consisting of: 1018 ISS, aluminum salt, Amplivax, AS15, BCG, CP-870,893, CpG7909, CyaA, ARNAX, STING agonist Agent, dSLIM, GM-CSF, IC30, IC31, imiquimod (Imiquimod), ImuFact IMP321, IS patch, ISS, ISCOMATRIX, Juvlmmune, LipoVac, MF59, monophosphoryl lipid A, Montanide IMS 1312, Montanide ISA 206, Montanide ISA 50V, Montanide ISA-51, OK-432, OM-174, OM-197-MP-EC, ONTAK, PepTel®, carrier system, PLGA particles, resiquimod, SRL172, virus particles And other virus-like particles, YF-17D, VEGF capture agent, R848, β-glucan, Pam3Cys and Aquila QS21 stimulator. 一種醫藥組合物,其包含: (a) 一或多種新抗原肽; (b) 以至少0.5%、1%、2%、3%或更高之濃度存在的二甲亞碸; (c) 以至少1% w/v、2% w/v、3% w/v、4% w/v、5% w/v或更高之濃度存在的糖;及 (d) 以低於1.0 mM之濃度存在的丁二酸或丁二酸鹽。A pharmaceutical composition comprising: (a) One or more neoantigenic peptides; (b) Dimethyl sulfonate present in a concentration of at least 0.5%, 1%, 2%, 3% or higher; (c) sugar present in a concentration of at least 1% w/v, 2% w/v, 3% w/v, 4% w/v, 5% w/v or higher; and (d) Succinic acid or succinate present at a concentration of less than 1.0 mM. 一種醫藥組合物,其包含: (a) 一或多種新抗原肽; (b) 1%至10%二甲亞碸; (c) 1% w/v至10% w/v糖之水溶液;及 (d) 低於1.0 mM丁二酸或丁二酸鹽。A pharmaceutical composition comprising: (a) One or more neoantigenic peptides; (b) 1% to 10% dimethyl sulfoxide; (c) 1% w/v to 10% w/v sugar solution; and (d) Less than 1.0 mM succinic acid or succinate. 一種醫藥組合物,其包含: (a) 一或多種新抗原肽; (b) 1%至10%二甲亞碸; (c) 1% w/v至10% w/v糖之水溶液;及 (d) 低於1.0 mM丁二酸或丁二酸鹽;及 (e) 聚I:聚C。A pharmaceutical composition comprising: (a) One or more neoantigenic peptides; (b) 1% to 10% dimethyl sulfoxide; (c) 1% w/v to 10% w/v sugar solution; and (d) less than 1.0 mM succinic acid or succinate; and (e) Poly I: Poly C. 2及58至60中任一項之醫藥組合物,其中該醫藥組合物進一步包含氯化鈉。2 and The pharmaceutical composition of any one of 58 to 60, wherein the pharmaceutical composition further comprises sodium chloride. 一種醫藥組合物,其包含: (a) 一至五種新抗原肽, (b) 1%至4%二甲亞碸, (c) 3% w/v至5% w/v右旋糖, (d) 以低於1.0 mM之濃度存在的丁二酸或丁二酸鹽。A pharmaceutical composition comprising: (a) One to five new antigen peptides, (b) 1% to 4% dimethyl sulfoxide, (c) 3% w/v to 5% w/v dextrose, (d) Succinic acid or succinate present at a concentration of less than 1.0 mM. 2、58至60及62中任一項之醫藥組合物,其中該一或多種新抗原肽中之每一種以至少1 μg/mL、至少10 μg/mL、至少25 μg/mL、至少50 μg/mL或至少100 μg/mL之濃度存在。2. The pharmaceutical composition of any one of 58 to 60 and 62, wherein each of the one or more neoantigenic peptides is at least 1 μg/mL, at least 10 μg/mL, at least 25 μg/mL, at least 50 μg /mL or at least 100 μg/mL. 2、58至60及62中任一項之醫藥組合物,其中該一或多種新抗原肽中之每一種以至多5000 μg/mL、至多2500 μg/mL、至多1000 μg/mL、至多750 μg/mL、至多500 μg/mL、至多400 μg/mL或至多300 μg/mL之濃度存在。2. The pharmaceutical composition of any one of 58 to 60 and 62, wherein each of the one or more neoantigen peptides is at most 5000 μg/mL, at most 2500 μg/mL, at most 1000 μg/mL, at most 750 μg /mL, at most 500 μg/mL, at most 400 μg/mL, or at most 300 μg/mL. 2、58至60及62中任一項之醫藥組合物,其中該一或多種新抗原肽中之每一種以10 μg/mL至5000 μg/mL、10 μg/mL至4000 μg/mL、10 μg/mL至3000 μg/mL、10 μg/mL至2000 μg/mL、10 μg/mL至1000 μg/mL、25 μg/mL至500 μg/mL或50 μg/mL至300 μg/mL之濃度存在。2. The pharmaceutical composition of any one of 58 to 60 and 62, wherein each of the one or more neoantigen peptides ranges from 10 μg/mL to 5000 μg/mL, 10 μg/mL to 4000 μg/mL, 10 Concentrations from μg/mL to 3000 μg/mL, 10 μg/mL to 2000 μg/mL, 10 μg/mL to 1000 μg/mL, 25 μg/mL to 500 μg/mL or 50 μg/mL to 300 μg/mL exist. 2、58至60及62中任一項之醫藥組合物,其中與包含濃度為1.0 mM或更高之pH調節劑的醫藥組合物相比,有較高百分比之新抗原肽可溶於該醫藥組合物。2. The pharmaceutical composition of any one of 58 to 60 and 62, wherein a higher percentage of the neoantigen peptide is soluble in the pharmaceutical than the pharmaceutical composition containing a pH adjusting agent at a concentration of 1.0 mM or higher combination. 2、58至60及62中任一項之醫藥組合物,其中與包含其中pH調節劑以1.0 mM或更高之濃度存在的醫藥組合物相比,有較高百分比之該一或多種新抗原肽可溶於該醫藥組合物。2. The pharmaceutical composition of any one of 58 to 60 and 62, wherein there is a higher percentage of the one or more new antigens as compared to the pharmaceutical composition containing the pH adjusting agent in a concentration of 1.0 mM or higher The peptide is soluble in the pharmaceutical composition. 一種疫苗,其包含如請求項1至67中任一項之醫藥組合物。A vaccine comprising the pharmaceutical composition according to any one of claims 1 to 67. 如請求項68之疫苗,其為贅瘤疫苗。If the vaccine of claim 68, it is a neoplastic vaccine. 一種免疫原性組合物,其包含如請求項1至67中任一項之醫藥組合物。An immunogenic composition comprising the pharmaceutical composition according to any one of claims 1 to 67. 一種疫苗接種或免疫接種套組,其包含: (a) 如請求項1至67中任一項之包含一或多種新抗原肽之凍乾組合物; (b) pH調節劑;及 (c) 用於合併(a)及(b)至溶液中之說明,其中該溶液包含濃度低於1.0 mM之該pH調節劑。A vaccination or immunization kit includes: (a) A lyophilized composition comprising one or more neoantigenic peptides as in any one of claims 1 to 67; (b) pH adjusters; and (c) Instructions for combining (a) and (b) into a solution, where the solution contains the pH adjusting agent at a concentration of less than 1.0 mM. 一種疫苗接種或免疫接種套組,其包含: (a) 包含一或多種凍乾新抗原肽或其醫藥學上可接受之鹽之組合物; (b) pH調節劑;及 (c) 用於合併(a)及(b)至溶液中之說明,其中該溶液包含濃度低於1.0 mM之該pH調節劑。A vaccination or immunization kit includes: (a) A composition comprising one or more lyophilized neoantigen peptides or pharmaceutically acceptable salts thereof; (b) pH adjusters; and (c) Instructions for combining (a) and (b) into a solution, where the solution contains the pH adjuster at a concentration of less than 1.0 mM. 如請求項71之疫苗接種或免疫接種套組,其中該套組進一步包含佐劑。The vaccination or immunization kit of claim 71, wherein the kit further contains an adjuvant. 如請求項71至73中任一項之疫苗接種或免疫接種套組,其中該套組進一步包含醫藥學上可接受之載劑。The vaccination or immunization kit of any one of claims 71 to 73, wherein the kit further contains a pharmaceutically acceptable carrier. 如請求項74之疫苗接種或免疫接種套組,其中該醫藥學上可接受之載劑為水。For the vaccination or immunization kit of claim 74, wherein the pharmaceutically acceptable carrier is water. 一種製備如請求項1至67中任一項之醫藥組合物的方法,其包括合併一或多種新抗原肽與pH調節劑及醫藥學上可接受之載劑,形成肽溶液,其中該pH調節劑以低於1.0 mM之濃度存在。A method for preparing a pharmaceutical composition according to any one of claims 1 to 67, which comprises combining one or more new antigen peptides with a pH adjusting agent and a pharmaceutically acceptable carrier to form a peptide solution, wherein the pH is adjusted The agent is present at a concentration below 1.0 mM. 一種製備醫藥組合物之方法,其包含合併一或多種凍乾新抗原肽與pH調節劑及醫藥學上可接受之載劑,以形成肽溶液,其中該pH調節劑以低於1.0 mM之濃度存在。A method for preparing a pharmaceutical composition, comprising combining one or more lyophilized neoantigen peptides with a pH adjusting agent and a pharmaceutically acceptable carrier to form a peptide solution, wherein the pH adjusting agent is at a concentration of less than 1.0 mM exist. 如請求項76或77之方法,其中該方法進一步包括過濾該肽溶液。The method of claim 76 or 77, wherein the method further comprises filtering the peptide solution. 如請求項76之方法,其中該一或多種新抗原肽在合併之前凍乾。The method of claim 76, wherein the one or more neoantigenic peptides are lyophilized before merging. 一種製備疫苗之方法,其包括合併如請求項1至67中任一項之醫藥組合物與免疫調節劑或佐劑。A method for preparing a vaccine, which comprises combining the pharmaceutical composition according to any one of claims 1 to 67 with an immunomodulator or adjuvant. 一種如請求項1至67中任一項之醫藥組合物的用途,其用於製造供治療病況或疾病之藥劑。Use of a pharmaceutical composition according to any one of claims 1 to 67 for the manufacture of a medicament for the treatment of a condition or disease. 如請求項81之用途,其中該藥劑進一步包含另一治療劑或與另一治療劑組合使用。Use according to claim 81, wherein the medicament further comprises or is used in combination with another therapeutic agent. 如請求項81或82之用途,其中該藥劑進一步包含第二醫藥組合物或與第二醫藥組合物組合使用,其中該第二醫藥組合物為如請求項1至67中任一項之醫藥組合物。The use according to claim 81 or 82, wherein the medicament further comprises or is used in combination with a second pharmaceutical composition, wherein the second pharmaceutical composition is the pharmaceutical combination according to any one of claims 1 to 67 Thing. 如請求項83之用途,其中該藥劑進一步包含第三醫藥組合物或與第三醫藥組合物組合使用,其中該第三醫藥組合物為如請求項1至67中任一項之醫藥組合物。The use according to claim 83, wherein the medicament further comprises or is used in combination with a third pharmaceutical composition, wherein the third pharmaceutical composition is the pharmaceutical composition according to any one of claims 1 to 67. 如請求項84之用途,其中該藥劑進一步包含第四醫藥組合物或與第四醫藥組合物組合使用,其中該第四醫藥組合物為如請求項1至67中任一項之醫藥組合物。The use according to claim 84, wherein the medicament further comprises or is used in combination with the fourth pharmaceutical composition, wherein the fourth pharmaceutical composition is the pharmaceutical composition according to any one of claims 1 to 67. 如請求項85之用途,其中該藥劑進一步包含至少第五、第六、第七或第八醫藥組合物或與至少第五、第六、第七或第八醫藥組合物組合使用,其中該至少第五、第六、第七或第八醫藥組合物為如請求項1至67中任一項之醫藥組合物。The use according to claim 85, wherein the medicament further comprises or is used in combination with at least a fifth, sixth, seventh or eighth pharmaceutical composition, wherein the at least The fifth, sixth, seventh or eighth pharmaceutical composition is the pharmaceutical composition according to any one of claims 1 to 67. 如請求項81或82之用途,其中該病況或疾病為贅瘤。For use according to claim 81 or 82, wherein the condition or disease is a neoplasm. 如請求項87之用途,其中該贅瘤為癌症。The use according to claim 87, wherein the neoplasm is cancer. 一種新抗原肽水溶液,其包含: (a) 一或多種新抗原肽;及 (b) 以低於1.0 mM之濃度存在的丁二酸或丁二酸鹽。A new antigen peptide aqueous solution, which contains: (a) one or more neoantigenic peptides; and (b) Succinic acid or succinate present at a concentration of less than 1.0 mM. 一種製備新抗原肽水溶液之方法,其包括合併一或多種新抗原肽與丁二酸或丁二酸鹽及液體載劑,其中該丁二酸或丁二酸鹽以低於1.0 mM之濃度存在。A method for preparing a new antigen peptide aqueous solution, which comprises combining one or more new antigen peptides with succinic acid or succinate and a liquid carrier, wherein the succinic acid or succinate is present at a concentration of less than 1.0 mM . 一種提高一或多種新抗原肽之溶解度的方法,其包括調整醫藥組合物中存在的pH調節劑之濃度,該醫藥組合物包含一或多種新抗原肽、該pH調節劑及醫藥學上可接受之載劑;其中該調整包括使pH調節劑之濃度降低至低於1.0 mM之濃度。A method for increasing the solubility of one or more neoantigen peptides, which comprises adjusting the concentration of a pH adjusting agent present in a pharmaceutical composition, the pharmaceutical composition comprising one or more neoantigen peptides, the pH adjusting agent and a pharmaceutically acceptable Carrier; wherein the adjustment includes reducing the concentration of the pH adjusting agent to a concentration lower than 1.0 mM.
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